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104-10224-10001 | 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 |

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12 August 1971

te
SECRET
eben Polled dat
—— - = —— T
(f% pf REQUEST FOR PERSONNEL ACTION
rans a i
U StS.a, Nowaee DN AME haat Fret Maddie s , “*
035655 y MAKSYMIEC, MYROSLAW LAW A, “a
0. NATE OF PLESONNEL aCTiGR rar
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RETIREMENT = + CSC ~ UIs. ABILITY fore dee
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9. ORG AMLATIONAL a
DDI/NPIC
“DEVELOPMENT COMPLEMENT
[a rosnon nt OT
D AND E TEC : a etn
V4. CLASSIRCATION SCHEDULE 1G . | 1d OCCUPATIONAL Semts "6 GRADE AND STEP
ae ——_____. __1670, ag__._|___09.6
1a kimamns, -
ite ut é rELY) 299 HL. ast ows
a. 4 L aly LLU, tye ar .
7 a fi ao
cc: PAYROLL
c2__SECURITY__ a a oe
VBA, SHGNATUTE OF SEQUESTING OFnCLad DATE SIGNED
ROKERT EF,
— SPACE BALOW | fog oF Travis ott oF Tae or
19 oa winrar [noma west tine Tn ancl is fas
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REGULAR

wir MONTY (Com, at omplere iv ay Vila oY :
eh}

10, LOCATION GF OFFICIAL Statins

——WASHINGTZ, D.C.

CastED SEIICE OF SIGHATION

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14-0000

oan UNITED STATES CIVIL SERVICE COMMISSION
Bureau of Retirement, Insurance, and Oce ational Health .
. Washington, D.C, 20415 “eu ROMs be
07-27-71

NOTICE OF APPROVAL OF DISABILITY RETIREMENT APPLICATION

uF ier, Benefita and Services Div,
Central Intelligeace Agency

Washington
DG 20505 ; .
BO . te TL
Stop 64 . ot : . ad 5 a of
L o]

Tho applicunt for disebltty rotliement identitied bolow has buen found totully disabled for useful and
elficiont servico in his position:

04-30-17

ns Ae a at a eae ip OWeLRNT Yen tT nen ee
DEPARTHENT OF AgancT AND LOCATION (iF OPERENT THAM THAT SHOWN IH ADOMEDE ADUVED

Sauna

This employae should now ke soparated in accordance with the procedure outlined in Fodoral Personnel
Manual Supploment 631-4 or similar instructions issued by your agency, Plecise forward the opplicant’s
Final Individual Retirement Record (SF 2300) as g00n as possibly, In adeition, please observe the follow
ing instructions: .

1. UNDER “REMARKS"' IN THE SERVICE HISTORY RECORD OF THE FINAL

FORM 2806, GIVE DATE PAY CEASED. .

. ATTACH ONE COPY OF THIS FORM TO THE 2806 FORWARDED.
3. IF EMPLOYEE IS INSURED UNDER THE FEDERAL EMPLOYEES GROUP
LIFE INSURANCE PROGRAM. SUBMIT THE ORIGINAL OF COMPLETED
AGENCY CERTIFICATION OF INSURANCE STATUS (SP 56) WITH THE
FINAL INDIVIDUAL RETIREMENT RECORD UNLESS THE EMPLOYEE
WISHES TO CONVERT TO AN INDIVIDUAL POLICY, a
IF’ EMPLOYER IS ENROLLED UNDER THE FEDERAI, EMPLOYEES HEALTH

iS]

=

Coe oa © All triplicate copies af Hoalth Benohts Re strahon Forms (SF 2809)
pote. ve and any medical certticates attacked thereat, , .
¢ Quadruplicate copy af Notice of Chance in Health Be Enrcilment
(SF 2610) transferring enro!lment to the Civil Service Mentrierit
System.

S.IF FOR ANY REASON THE FINAL FORM 2806 CANNOT BE FORWARDED
WITHIN 10 DAYS, PLEASE FURNISH PROMPTLY THE INFORMATION RE.
QUESTED ON THE REVERSE SIDE OF DUPLICATE OF THIS LETTER.

JACK GOLDBERG
Cmra7, dime Orersion

BAI 4648

“ lOvEn) oo, November 1969

J
, x :


14-0000

a
14. CLASSIFICATION SCHEDULE (GN, OB ty 7 1s. CLL aTwinvas ue is

: SECRET

(UW hem Balled tt

. Poste porrarty,

REQUEST .FOR PERSONNEL ACTION . ;

Zo May 1971
Po rycen,
4 A ?

1. SORTA NUMBER ic PORE Lost treet Winkle}

an

J raTUne or PSOne: oe

08,
7. finvanictat “ANALYSES, oe . NOGag arfterert
CHARGEABLE . Poona)
1255-5300 _

10 “YOCATION or OFiciaL ‘bation ——— ee
.

(Complaed by tiphu op

e OSG ANIZATIONAL DESIGNarera,

DDI/WPEC .
Developme::t Complement

Nachtugton, DC.

ee
. 12. OSiTON NUMBEa i) CARH Se erred aiation

#1. POSITION TIte

D and © Tech 999T

IP

10 CRADE AND su vw $arary ¢ CA Ws Pate

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Gs . 1670.04 o 866 $12, 215
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AID ~ £274
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14-0000

_ . SECRET

- oe eo bee Plt to
: DAE PerrantD
» REQUEST FOR PERSONNEL ACTION ;
25 May 1971
tL griteay sumone 2 NAME | Fat P rete. Middle) ood . ,

Myres daw Ae

« _ tee care
nonin °

pone f 05 125 | a

eh ne
i CattGory © OF Ewe IMrlaa faint

. 7. FAN at ANALYSIS ND al aurmonite tum ’ ) Othe a
XX ac n ¥ vioce . CHARGE ABLE Peronnel)
ee oe ee .
chy cho ce
Sinan anna Nn -f--12552 5300 __ ae
0 ‘VOCatION OF Oreriat StAtiON .

DDI/NPIC a
Development Couplement re

. Washington, D, 0. :
Ty POSION Bh —~ ns A
Ty POSINON frre . a n. CANT St SCEVICE DE SWGha tics Ties
Dand F Tech is occpatonm Gage eee ITP en
tae CUASSIFICA NOR SCHIOULE FOS, Lar nd Ts OSCuPANGNAT 3 stairs

16 GRADE AND sree 1? SALARY OR Pate

cs . 1670.08

Te ate nn Tr ree nee
1@. tages

0 866 $22) 215

Toe er eine Dasa rip mena bop toe aeetenateediaaaniemrane a at

Pending Disability Rettroment

y orld

MoNnatu OF sn aaa a rere nee att ee
yi PSA, SIGNATURE OF SEQUESTING Orerctay OATE SIGNED. 'OB  SHinATURE OF CaRtin stave APPROVING OFFICER Ee
0D . f

pA wer Dodie her sik ia een?
Robert ac Reten, ¢/pp/sé/upre Los
StLow for EXClUsive ae i oF THE tor PERSONNEL

27 tation Jay tance [30° nots,
(oot

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pata coor

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14-0000

uma. 24 Aue 7h .
MOTIFICATION QF PERSONNEL ACTION

POMAME RATES! MLE:

BAKSYMIEC | MYROSLAW A

| SEAL NuMeen

33633

3 NATUOE OF PLESONNIL ACH

MOMMINT

TS Cane,
7h | REGULAR

hevgnbie 1B CSC oP Ob AS

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Chow ++ c10e (2235 3300 ANNA

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14-0000

|
|
|
|

rnipslon,

Mr, Myroslaw 4, Makeymlec 12 AVG wn
$718 Asbury Place, N. Ww, ‘ ; :
Washington, D, C, 20016

‘Deer My, Makaymiec:

Ae you bring to a close mora than. thirty

" yoara of service to your country, I want to. join

your {rieads and co-workers in wlehing you wail
and hoping thst you find the years ohead filled vith —

enjoyment and eatlefaction, | .

"It takes the conscientious efforts of rnany

people te do the important work of thia Agoncy. You.

leave with tho knowledge that you have personally
contributed to our success in carrying out our

May I express to you my appraciation and
extend my best wishes for the years ahead,

‘Blncorely,

Richard Helme

Richard Helms wee eee
Ulrector | -

Distribution:
O - Addressee

1- DDG! Originator: .
1.-ER Director of Personnel

1 - D/Pera 1 Ave yyy
1. OPF.
t
!

Yo/Harry B. lessee

- ROB
- ROB Reader

OP/RAD/ROB/ERanochak:s! (4 August 1971)


14.0000

trae

o
-G

FTOLE OF Cea Mies Pipe

NAME . of . aa

" Sopmed a on . _ your rating, lt is im.

~Hrs burorhaw fe Laks, portant (hat you keep it,

ADDRESS : Tt is noted that your
b716 Ashbury Plece, ty W, ot . f Vilication was xet rated,

CITY, STATE. ———-— - me eee . for any position with a
AND ZIP CODE lower entrunce silery Chant

Your Rating is — ELIGIBLE

bven examination is not ratcd on a numerical basis

Your Rating is ~ INELIGIBLE for the reasons checked below: , ——e

QO SPINS — UF YOU ARE BPSOIRTCO YOU Witt BE ATQUIALO TO FURNISH TO THE APPOINTING OFFICER frowns
EVIGLICE OF reOMORASLE SEPARATION BROW TME ARMED FORCES,

this form. so INTERAGENCY BOARD OF

on <
UNITED STATES CIVIL SERVICE COMMISSION _

NOTIFE

APPLICANT MUST FILL Ait

a we a tere wi hte noes Henri eee

TEGHIICIAN Tt Et

Te This is wot a avsice of
. : appotntaent. Itisareeued

that which you taticated
thereon.

Urghing ton, De Co 20016

Your numerical rating is:
GS-10 = 100
GS-11 96

Nee a ane CT ee
The lowest acceptable salary indicated-.---;ew—apprication is higher than the salary shuwa on our

announcaranre. . : .
You did- not pass the written test. All competitors must attain an earned racing of 76 without regard to :

veteran preference. When an applicant's paper falls below the passing mark it is not scored further. Ins

eligibles do not receive a numerical grade, .
* Your application does nut show that you meet the minimum requirements as to experience (or education)

which were specified in the examination announcemenc. . :
Your eligibility is suspended pending your furnishing che Commission proof of correction ot physical con.

dition, as shown on che attached notice.
Failed to reply ‘to official correspondence.

IF THERE $5 A CHECK GELOW, IT INDICATES THE AMOUNT OF VETERAN PREFERENCE CREDIT INCLUDED IN YOUR RATING

A rn ny ere

if you have received an eligible rating, be sure to sead the important message on the back of

U.S. CIVIL SERVICE EXAMINERS FOR
. TASHINGTON, D. C.
ain '
25 JUL 1059 FASHINGTON, D.C. 20415

‘Tea ing Office ant Date of bevue)

CSC FORM 4004 Li
Octopus 1943
, oS

14-00000 |

HAPORTART MESS

YOU HAVE-RICEIVED AN ELIGEALE SOTICE OF RAT.
ING. WHAT bors THAIS MEAN?

IT MEANS THAT: Your name hav been plioed on the fae of
peony who have payed this cxamingiive, in its proper relative
standiog. This list of eligibles, o¢ register, is hepe by the office
whore mame and address ap pears in the tower (ght. haad cornee
oa the other side of this nouce.

_ UV MEANS THAT: When your name is teacbed on the regis:
“tee, you will be considered for the type of jobe for which you
have qualificd, (in the ceogeaphical area) covered by the ex-
amination, (When a Federal agency requests the Commission
lev supply che names of eligibles, the names of the chicee eligibles
at che top of the register are certified to the agency for consid:
@tation.)) The agency appointing officer may choore any one of
these three persunt, sv long as he complies with tHe Veterans’
Preference Act of 1944) as amended.

ADDITIONAL INFORMATION

1. Any offer of appointment of inquiry as to availability which

you may receive from a Federal agency will show wiliether you

are being considered for a limited temporaty, a carcer-conditional,
Of & Carece appoine™ ene.

. If, when you ate considered for appointment, you signify
the you ate not available or you Gil to reply te a communica
tion, your name will be removed from the’ register until you _
satisfactorily explain your teasons and specify the conditions

- under which you would be willing ta accept any Appoincment.
When you are unable to accepe any appoinement you should

request thac your name be suspended from ane FEAL founeil- wes
i

tt aetna Shite te is sell in use, Changes in availability, or

mansfee of etigibilicy, will be acted on without further notice
to you.

5. If you are now employed by the Federal Government and
have received an eligible: tating, show this -nogice to.your per!
sonnel officer. He should be awate of your eligibitity on this
examination, THIS DOES NOT RELE: YOU FROM YOUR
RESPONSIBILITY TO KEEP THE OFFICE MAINTAINING

U.S. COusanusinl panting OFFICE: 1566 O— FH-198

: 5 If you are not appointed or the register 15 not oeticially terminated earlier, your
: eligibility from this examination will be in effect for a~ Period of 18 months only
unless you submit up-to-date information about your qualifications tefore that tine
by letter, Standard Form 57 or Form 57A; however, such information™ will not be accepted

if you have had eligibility for less than ) year.
this "Notice of Rating" is that on. which your period of eligibility began.

oy

steg_uneil-yon———— oer MIMS OTT sw then be made, and the competitor wilt

AGE TO CluGIOtEes

PY MEANS THAT: Your prospects for gesting a job from
this examination caneat be predicced, They depend upon how
many vacancy may eur te be filed by chgibles, and an your
relative drandiag on the tegeter, Youe name will be certilied
for conser cy within much and as requetes for
eligibles are teceived. (IP you are not defected, your name will
KO back on the register ia ity proper felative standing, to be
considered again when within teach uodl the ceyiscer is teemi-
nated.)

If MEANS THAT: YOU MUST INFORM THE OFFICE
WHICKE ED THIS NOTICE OF RATING OF ANY
CHANGES IN YOUR ADDRESS OR IN THE CONDETIONS
UNDLE WHICH YOU W 1. ACCEMLE APPOINTMENT,
SEND ANY NEW INFORMATION CONCERNING YOUR
OR AVAILABILITY TO THE OFFICE WHOSE
ND ADDRESS IS SHOWN IN THE LOWER RIGHT:
: TORNER ON THE OTHER SIDE OF THIS NOTICE,
AND REEER TO THE TITLE OF THE EXAMINATION AND
THE RATING RECELVED. .

a ante

YOUR ELIGIBILITY INFORMED OF CHANGES AS MEN.
TIONED AHOVE, i" : mg

4, A competitor who teccived an eligible rating may, under"
Certain conditions, have his cligibilicy transferred from the regis:
ter of one civil seevice otbee co a similar tegistet in anocher

civil service office. i

- A competitor who wishes cw hive his eligibility eransferred
should send his request to the office where his eligibilicy is
maintained.

be notificd, as to whether his eligibility can be transferred,

$. A regiscer established from an examination held in order
to fill a specific type of position at a stated salary may also be
used tn fill vacancies in telated positions of at a lower salary.
When you accept a carcet-conditional of a career appointment,
ryour game will be removed from all cegisters exablivhed as a
result of this examination. Until your name is temoved, yaur
w tingness to accept a tower salary will noe affect your eligi-
bilicy for positions at a higher salary.

The date of issue whiten ~eppears on

al

74-D0000

SUD SEAT SAVICE GOr ty
ty ..
ay
Y Place ssw, Date: LG
HeCe 20018

A preliminary rey
subi d fur
Vesiticns fn
“experience
table under the po
considered for
qualify you at G

ya Mid-Level
evices, The
ro accep:

eu will be oo ao

nd lraining

rratiye, §
# training dese
ral terms of

t

ho-appe rire
PF
Lieular

at thal prade. | rave RY aaeney re

Aon

eby cual

t
ao . en ree ppl ieations
: i backgre eats of the
i bot id &re carefully res .
j Cates-are referred for consideration, ranked in accer
H their relative qualifications with a eo regard to Vete s Preferonce,
‘ AS you know, plicants way ¢ mool amy two
: officcs mait naz lists rothis an Tn secordanee
i . est, your elipihils fs cn tho ) niatned
} j jadieated be : a
i a
f . . .
i Please see reverse Cor Complete: sses and othey iepartant .
i infernatton, ‘ ;
i
4 . _o
eer
j ee
i _— a S
+ 2
i ne


1400000.

SECRET

CW tae Pitted be .
ee
Gatl sepeactD

REQUEST FOR PERSONNEL ACTION

~

aed OG

VL SER ay Sr eis te Saw bat A casse Middle)

EPPECTIVE Date East stto . CatlGGr of EmmOvmtng |

REGULAR

Snir, '~-MERUSLAIL A.

PROXC?

T xterm, ; ly woe TTT COST Cireti® NO Cradce 1 IEGAL AUTHORITY Thempliied by Ujhe of
7? 3 FUMES >: - 5 en GCS Posed)
. i feroy croc
p 9, OO APT SHCA, CESGRATERS ——_ —— 0, CATION OF Gana SIANON
DOT MP Ee

a

a

LO RMENT STAFF
LOPMENT LAB BRANCH

WASHINGTON, D. C.

PLATE

12. POSMOR HUMBER

0644

19. CAPLEA SLAWICE DESIGNATION

1 AO Ig ; q -
oa IP

D AND 2 TECH

14, CLASSIC aR ins SCENE CN LB, etc) 13. OCCuPanioriat SENES 16. GRADE AND STEP TP, SALARY OR GATE

GS 670.08 09 3
—_—_ a 1 $7,987
1OA. SeGcua "Lad OP REGKESTING OFMCIAL TT pate Siero ("2 SIONATUNE Cr Canter Serice APPROVING C ‘Date SGNED
‘ 7 ¢ fe iy gf oa
. ag, ‘ xf ’ YZ i (iA
___SPACE BELOW FOR EXCLUSIVE USE.OF THE “ornice OF PERSONNEL / .
Walon 1 eal im. CPhae Cogies 7 satioe 1 iaitoett |x Mu. Date OF Lu
cose | }———- cone (om ~.
AL Le pty :
18. ote EP Wi. ahaanCe fay corNciiow GumciuaTon DATA Matty fe oe
~O. oa, iad oate (ort ret “2. ve. EOD DATA | 0. 20,
t . ~
|! i toa [vi
WAL EO aN. Coe TT , Mo CAREER CATLGORT y CEG WEALTH WecaaRCE 10 soca secrnizr ag
coor or { mtd. aw ve. cose coue 1 een sfaife mb. COST
iat # f] tin
Noe 5 { I i
a. PREACH GOVEEBAEST Gerad tare tet at FHI tan Oat Stan TAL pate
cove theed ORS BK (ost fn teu coor ~ NO tenet | as GEPCVIIO coor ao”, Sart COCE
en er : | seas | ‘ you i
ji aie © Fivet ns fas) nan; Hy . a
[s-Sar B ATL ace Nas) tat) [- : | ne { | um 7
: ; — tj aimee San nn hn yap pt =
43. POWTG Comrie CEST ANON : H pareen: wre ~

/
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v4 OP shhivwe~!

FO
0-30 FES2 cee meas Cr-on

SECRET

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14-0000

Plans Branch/P&DS

Ll May 1965

MEMORANDUM FOR: Assistant for Plots und Deve lopment

Z

: SUBJECT 2 Appre fu Tur Effort Concerning Publication .
‘ Technical Develosauent, Provraum - 1965 O65 .
j 1. It is my pleasure to inform you of an outstanding f

aw Maksymniec, a member of your i
sTul comp be tion of the NPIC !
Yor 1965. :

contribution that Mr. Myr
; : Staff, made toward th
: Technical Development }

2. Mr. Ma
; Photographic skill were
photographs that insured
contained in the

col advice and superior

‘ible for the high quality :
xcellent quality reproductions : +h
cul Development Manual. oo :

3. The suc Zanwil Was due in no small part
to Mr. Maksymiec's econ and J wish to personally
commend him for hie contribution,

: . /) .
PAUL We RELNOWSKI

L/Colonel, USAP

: _ : Chief, Plans Branch, Plans and

Development Start

Mr. Maksymieecs ; ,

2 Pleacure to pass on to you
’ Plans Branch, NPIC. I was
rt of this manual and I
anether job well done,

i It gives me considerati
this letter from the Chi
avace of your efforts in
: would like to thank you fe

f
A copy of thts correspondence should be forwnrgey, eto
the Support Staff for entry i yours) grr ictal recoyay

[ He
‘Yor Plans

aS


4.00000

Lat bobs a DID

REQUEST FOR PERSONNEL’ ACTION : 20 June 196%

Postar Nuwaee °F ean fh estrm er NMiile t

S655} MANEDIED weROSrAW A

Ter Dale 98cz,

PROMOTICAT
on pe
AUTHORITY (Compleied by Office of

Peremnel

be ferae
2 RASS > z. t -
jere

ceroce d
9 ORRANIATIORAL OPA TIONS : ~ TE a Gee GP OFC Staten rn
ppr/KPIC

PLANS AND UEVELOPYEN? STAFF WASHES ON , D

“EXPLORATOHY DEVELOPRENT LAB BRANCH

i
4
f
3

Tt AQSNON Ime

reptax DiwdiF Lewd

te SL ARSACA Ta § rea od CGS,

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te

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14-0000

PAB OL

16 June loch

; . MEMORANDUM FOR: Chairman, Carcer-gervies Bunrd, NPIC
: . ; TT . oa
THROUGH : Secretary, Career Service Hoard, NPIC eee

SUBJECT : Recommendation for Promotion

1. NAME: = Maksymiee, Myroslaw Andrew

2. POSTTTON TICLE AND PRESENT SSIGNMENT |

i . Photog (Gen) ovcupying Phystend Sefentint Slot, ageigned
to the Exploratory Development Lavoratcry Branch of the
Plans und Development Staff.

3. PRESENT GRADE, TIME IN CIA:

8-7/3, BOD Date November 1961
EDUCATION AND TRAINING: High School :

5. EXPERIENCE:

Mr. Maksymiec retired as 9 Master Sergeant in July 1961,
i after 20 years of Amay photographie expertence. He worked
fn PSD/PLB trom November LOG’ unttl 19 September 1963. On
this date he was asslened to the Exploratory Development

} Laboratory Branch of the Plans and Development Statr on a

A ‘D-duy trial basis. This pertod wac extended to January,

t 1964 at which time the asslgnment mas mage permanent. 1
i s

+ :

3 ‘ .

:
i! : ;


14-0000.

SUBJECT: Recommendation Sor Prenetion :

ss G. JUSPIVICATION POR PROMOTIGH:
intense hus Leen tn penetien
ie Exploratory pure lopment
arned the theeretleal eide of
du owlth his already extenilye
fe preeess. He hag earrfed out
tndieate a natural bent. Yor
Snittal briefings, he requiras
+ Wis maturity tea distinet
treme attention to detntl end
Vibine a

Mr. Maksymflee's pebmery: exae
photography. © Since Joint
Laboratory Branch, he
photography and combin
knowledge of the phote,
veveral Investig
eolentitic metho
Mttle, if any, supervis
in his work. where

Se naa
: good Jadvemen trare-absel

soss ft

C willingness to werk for +} ‘OUD, NO matter ~houen,
: and cooperates and works well with others. eet ae
. . , His revponstbilfties and ilty or eftort are Geserving

-7 status. Tt is eeelors . -

of more than his eurreat

s recownended thnt Me. Makayutlee be promoted te Ged. ™
: ’

{
Ou,

: JCHN W. CATH

t Asatgtaf’, fer Plans and Developncat

: PADS, NPIC et

|

i

i

} -
:

3

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14/0000 -

SECRET

(When Pilted-tay-

vate ParPanso

» REQUEST FOR PERSONNEL ACTION Lh Jun

SrmiaL NUMMER | 2. NAME (Last-Fievt-widdiey
-

a36655 |) MAKSIMIEC Myruplow A.

2. MATURE OF PERSONNEL ACTION

WESTEO] S$. CATE GUAT OF EMPLOYMENT
——————- ny

wovre . .
C/ | Le REGULAR

: 7. cost centen wo. cwaBGe. | 8. Lttal AUINORitY (Completed by
we

1995+ LOR0-GOGR

10. LOCATION OF OFFICIAL STAIION

HEACCIGRMENT

6. FUNDS >

D. GOGAHIEATIONAL DEDTIGHATIONS

8. Lihat aurnonity (Completed by
Office af Personnel)

por /uPte
PLANS AUD DEVELOIMENT STAFF
EXPLORATORY DEVELOPMENT LAB BRANCH

“WASHINGTON, D, Ce

U2. POSITION NUMSER

Ht, POOETiOm THTLE

C303

GNaDL AND STLP

PHOTOG GFH ¥

4, ChADBIFICAT ION SCWLOULE (GS, LB, efc.)] 19. OCCUPATIONAL DERIES

1060.02

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ta, arwaens

— Frotog Gen oceuny ing Physical | Seltentiat Slot

“SIGNATURE OF REQUESTING OFFICIAL

1648) BATE SIGHED

[7OF LHR OFF
Pv, ADIOS.) 8. OTL Ch agate wh. DATE OF

CESt.
ation garal

CE wy, SOCIAL SETLGITE NO,

Sk “ACE Ne LOW Fou

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REQ. NO,

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date coor

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° 46. OP, APraowaL on DaTt APPaOVED

POSTTICH COmTAOL CLATIFICATION

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oun aonres os SECRET


4.00000

a ae
Y Pornaaae, Of ftcar : FEDLHAL AVIATION AGENCY
i fanteal Jutelideades
‘ ventral <aieliie wy QUESTIONNAIRE ON

Pasniazbon 33,

PLICANT SORA

de Se ; Ae
! POSITION

o horea wit, he dail in ean ttence

loemanian yau Keon oa

" Feiss § MS Lee, Tew BPEL Ee tan G8 wt eG
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| trecelae Ay Raksyatag | Protegre 53-9 1 PT-63
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The ayecea ad f the ques tated gay The piesGens and eipianatery statements in| are given

foe your afeeer
Ment, 4e eet ellitional op.
Grsbes “senerad Criteccenta” an the +

anh we ahd i
ally i you cane

as 73 vier te the type of in
z answeerd specife
te ved f ete te le Pore pertinent.

a boew well, aod |
is whal caahestion dave 190 known the ap. : .
+ pereomal acyeains- J Bis

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2 AWIEITY. H

Hew weld you rate the applicant an {
bacwisdze of and interest in bia aperial- |
faed tochnial Geld? the ha better of }
'
I
i

Mier close
eOntinue this unt!l he fa
autitea aasatgred,

feng ve tnfursied than the avarngal Aw
rathuewstt An authimty? hoes he :
2, OSes bereaelf~ well im pewitip Linea j -
LG ha besp ap sotth develu, Pr men: a

| Contnhate naw wtene? Peeler old i

5

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PERSGS ALITY,

Naw xoatd pow characterize the eppli-
tanta temperemest aad stability! de
Ae Thrund gl Biran-tempered) lahe coop. 5
eratize? ~ Lymetimes stubbornt fa he |}
nears of hitaart{h  prolf. veonfident? dsj

a Caativarty

Ye | live would you evaluate the applicant's |

¥ ability te moet pad deal with othern? + ADD
3 : (le be frwadty? Artward? Haserred? 5

i Paettad? trea he make u pose feat im

i preaviga] improve on acquaintance? |
Leet he tak foeatty? Hualtingly? Toa
much! Pogratically?)

. Lp oy you beew cf aprikicg fn the. Boppii-

| ‘eant's bart yrenand, ar dace he Sate an

1 charactenteries or perweoal habite whic

i mish? sdeerandy affect hia seeat hy or his

Felattans with fejine-ornphera? i your
anerer 3, please give dotatts,

Ve you have any know ledus uf behavior,

. Oclivitwes. or neswittions which wuld tn

dicate that the speiivent ie mut reliable,

honest. trantwerthy, and ief goud conduel

.! and eherastor? ff your anewer ia VES,

. Ty Lovacry. mre ss
: Nie you hase ahy rearwsa to quentinn the :
applivart’s icpalty in the United States?

toik

everthrowtng of | . :
olteniag sur cometitenonal form of gor- j mG . 5 ‘ i
' rroment by feces ot os ber. cl:
, Bitaed gire de-
i fiat De ergamentiens.

To yocr brow ledge. dors the applicant aa,
teciate, #¢ bas he seomiated, with aay
perrca wire Foyalls te tha Lanited St
ta Queriincobie ae wha bwlenrato -p
the tspaa of organiastes dese
ahavel Lf your oneusr ie }
pire detaus.

TAI

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What is sur entunate of the applicant's

VEBRCIY ty adianee 7 Cha ke oe i Alert
° SAR as
tere ™

. the
<veadily? |

i . : - ose wee we eee a er ee
H at whal level of work
a ia goayal think the apphicant ! woe
might ote hold onten years? bask .
. taire ¢. - .

rm. TOWER Tp MGHER
Luo weaky LL scare

. Woald red reeapiay Alin?

Tht peama Uo emedeped omar feareinany be:
qmagped by th Yiteal Aeiation Ageery te pry i
See Chr ky senmerners wu an sevivive, omek on | ieee
here cugeeeoa, aa irests renirol singst planeing, *
7, Swami. reinted oo ibe Oring eatery of rom and -
ht fart, le vee of the chao, womdd |
‘WE Feeweruot ton fe 5 pesitien of tne |
apes eae" ‘

> GENERAL COMMENT lease make any a mivht he helofal ty as in deciding adout the applic
Uorat a gratuhdiin for employment, Uf uddifiesul -jace ia aveded, soatinue on se parrate sheet.) :

|
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14-0000

SECRET oo me

(Bhon Billed gay

REQUEST FOR PERSONNEL ACTION

'. SORlaL NUMBER 2. Name (Last-First-middley

035655“ | MAKSYMIEC, Myroslaw A.

3. MATURE OF PLOSUSAHEL ACTION

DATE PNEPARED

& January 1962

‘

Reassignment Regular -
\ : vito cr 7. COST CENTER NO. CHARGE: b LEGAL AUTHORITY (Completed by
ABLE, Office of Personnel)

8. FUNOS

D. ORGANIZATIONAL DESIGNATIONS

DDT/NPTIC
Data Management Division

yy Technical Branch

Photographic Lab Section
Contact Printing Unit

‘It. POSITION THTLE

14. CLASSIFICATION SCHEDULE (GS, LB, ote.)

1
1

Gs _ 1060.02
10. REMARKS : OO
| :

New S/C

Je4. SIGNATURE OF REQUESTING OFFICIAL

SVACE BELOW FOR E

cf To Cr

13. OCCUPATIONAL SEAIFS

DATE SICNEO 109. S'tGHAYURE OF CAREER SERVICE APPROVING |OATE SIGNEO

LOCATION OF OFFICIAL STATION

10.

Washington, D.C.

12. POSITION NUMBER 13. CAREER SERVICE DESIGNATION

239 IP
Vo. GRant AND STEF 17. SALARY OR WATE

5,395

ortic

USE OF ‘

wfet. ChRice Coots,

nunranc
G25 C0
20 SPL Cl aL
4° wesepeace

WC, RERING MENT Cara

NTC 2
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36, SER a, Com, SF CONG, COMP, DATE

De, MUD I95 26
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mv ~ * ™

PEGE footbag ter tht ance

33. Sh Corte
350, we.

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11, PREVACUS COVSAWMENT SfGeICe DATA Sitaee CAT, | 8B, S750Sa; fer date Stave Tan data
~ case
= NO Pafetous sraster Foam cacsuer leans fo. Pan surwerress cn0e fe ragtsrete coc
Toe MO O8¢ ag Oy EO MetCE . Vets see, .
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Toe open im seavich Eeca¢ teow t2 mas

43. POSITION CONTROL CERTIFICATION

bee 1152 use eseveous cosrrom, -

46. 0.P, APPROVAL DATE APPROVED

(6)

SECRET


14-0000

§

(i

1 OPM TAG SuMUER

, . ao ’ » Myroslaw A.
aa ” . =) Sa ae

3. NatuRr oF eras et yrhe

cr tay

ae eennne nT

: ORGANIZATIONAL, PES TGNATIONS
DDI/NPIC

Datu Management Division
Technical Branch .

Photographie -Laboratory Section

th. POSITION TarLe

ECRET

Fidfed pry

PAth PRePanig

4 July 1961

2. CATEGORY OF TePLoeMINT

i woere

. aa | 2¢ we

COST CENTER AG, cuanea-
auLe

: Auteonriny (Completed hy
(Olfice of Personnel,

_ | 2255- 1910-7000

10. LOCATION. GF OFFICIAL STATION

Mashington, D.C.

Photog {cen}

14. CLASSIFICation SCHEDULE (G3, LE, etc.)

15. OCCUPATIONAL SERIES |

484. SIGNATURT OF HEQUESTING GFF

12. POSITION | NUMBER

hg OL SIGMA TION
IP

16. CPADE AND STEP V7. SALARY GR RATE

T-1 53595

faa VETS

nD ae
aupae im ten

cr tress resa t2
onren Ns

tues test

Fore VOSOLETE Paretous fortee..”
a-¢o 1152 snp rome risze.

Jk ley fi
‘ ii , “
SECRET 7 ua

124. PCR CONTROL NO] 139. CARCER SERVICE


14-0000

coe a CONFIDENTIAL

Oke Fit at pis

REPORT OF INTERVIEW ["*: vee ecn voy pseeer

nanan 23 March 1962 | :
SAMUIOATE (ast, Fase, widdtey Fuacr on mratie are eonmin oo FF
~MARSYMIEC, Nyroslaw. Andrew oo _.. [Manches fer, | A 30 April 1917 fe
Thertoany annnesys . tC reome rs ie
3268 Valley Drive, Alexandria, Virginia __ a v5 Cs a
Prewaentnt aopeess . PPaunt 7 wee a
3268 Valley Drive, Alexandria, Virginia 1. _TE 6~5218 E
BUTE Ss AnORES4 et ay ee x

_f—Office Chief of Staff for Intelligence, Pentagon,

PUaArr OF tmYiuviie .

- OX 791376

1paty AVAtLANLE
i

——Hashington, D.C. DR a ae
Plow (Olfice, “wertaty _ . TESTS " ee
—-—.-—.. Photo_Lab Tech. ee Ce
EDUCATION? ee . _ :
33 = 1935 - Central High School < Manchester, Now Hampshire « completed 2 yrs,
EMPLOYMENT SEE ATTACHED FORM 57,
MELE TARY: oo, _ _—
- Date ~~" Master Seryoant - Chief of Staff for Intelligence 1950 _to-Daté -

Photography and lab work of all types with tho-Cniof of Staff for
Intelligence in Pentagon, Washtag ton, Dey .

. : The applicant is about to ‘retire after 20 years military service,
_ Mp. Makeaymiec has a pleasant personality, presents a good personal anoearance in his
Master Sergeant's uniform, and seems to be about average in tntelligenca and maturity.

Subject hag had some excellent photo and photo lab expertence while
working with the military attache and in headquarters,

Attached is form ‘7 plus several letters of commendation, Please
refer to POD/CH/CSSB for consideration by NPIC as Photo Lab Tech at about the GS-7
level, oe . .

a ne

Oates SEmT TO nO)

Jes
area F6G7 gt tesireus ow CONFIDENTIAL ‘ fase)


14-0000,

; . an
7 he : t LE | Oo
; @€ REPRODUCTION MASTERS SEGRE LiNOGRAPHIC PROFILE Q
: CO CO la Pehle? Se
4 Handle With CGnoare my
4 V3 ee ED ——— er ; :


1400000

REPRODUCTION MASTERS RIOGRAPHIC PROFILE

13d53$

SECERT

Handle With Care

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SIT TS eee

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aren pret ene etnies Meee emer . .-


ee

we | Sng sa.

Mr. Myroslaw Maksyniec _
4718 Asbury Place, N. W.

- Washington, D.C, 20016

Dear Mr, Naksymiect

This letter {a in response to the comment you mado
to the Director on Alumni Day, 26 April 1975, concerning
a special medsllion for NPIC employees who participated |
in the Cuban oissilo crisis.

I have had the appropriate vecords reviewed. The
Certificate of Comnondation you add other NPIC employoes
received was avarded by direction of the Presidont in
recognition of the meritorious service perforaed.

“It is hoped that the lack of a wedallion to accompany
this certificate will in no way detract from the contribu-
tion you made during this period of crisis.

, Sinceroly,

fofdohn E. Blake

John F. Blake

Deputy Director
: for . :
Adninistration
Distribution:
O - Addresses - ; . .
1 - ER 7 letied) yon
Ns DDA EE oven
SE Ae

. 3S Originator:
Te BOPP ats rom caw /held) . © Wrector of Personnel

DD/Pers/SP/RLAustin, Jr: gee testay 75)

BIA oy
LAE yes

a

14-0006

a Neb

DD/A 75-2034

26 RES 75

ee
MEMORANDUM FOR: Director of -Personnel

Fred:

1. The facts behind the question raised with the.
Director by Mr. Maksymec on Saturday, 26 April, are,
according to him, as follows. - . >

. t
2. After NPIC had done its fine work during the
Cuban missile crisis it appears that two different types
of recognition were given. Determinations were made
first on certain individuals whose contributions were
such that they should receive an Agency medal award. A
second group of some 200 were then identified for their
level of.contribution and received some kind of certifi-
cate from the White House signed by the President. Mr.
Maksymec was in the latter group and espotises the cause
that a "special medallion" should have been given along

‘with the White House certificate. Mr. Rob Gaynor also

spoke to me’ on this matter on Saturday, and has ao good
recollection on the whole matter.

3. Will you do what you can on the matter and pre- .

‘pare me a letter to be sent to Mr. Maksynec?

John F. Blake
Deputy Director
for
Administration

Distribution:
Orig. & 1 - Adse


1400000

: . ek
ATER BASED ACER ERNE 2 AES Rug h Lee at

OUOR BE NLOPS © LOPELLING COMPOUNES + a

acon

M.A. Maksymiec

Ve ROE ES

Environmental Coating ladusisigs Corpor:tion
7104 Poplar Stroot - Annandale, Virgime 22097 (703) 354-4782

a . pot uaa iN I EE EA MLS

sinotn will eneen CLASSI : 10ON Tor Ano BOTTOM
unciassiviva [ [ coneipentias, [| [ skcner
OFFICIAL ROUTING SLIP

NAME ANO AOORESS

RECOMMENDATION
BETURN

108% 30, 237 the previous adil

1-67

SGNORANTUM FOR THE RECORD
SURJECT: Mr. Myroslaw Maksymlec - Retired Employee

The meeting vith Me, Maksymiec ‘on 6 May 1975 was to satisty hig
request -to review his officlal-personnet rile (this matter ras
betng treated in the manner of a request under the Freedom a2
Tacvormation Ast). Location: -Main Reception Interview Rooa at
Readquarters Bullding - 3. p.n. .

' The-duration of the meeting was one (1) hour of waten tine
No. Maksymiec used approximately 7 to 3 minutes to quickly thunb-.
tnuru the OPF. It is my lzpresston that he was ourprised: 1) ve -
vere allowing him to see all the material in the file ( he éescribed:
vividly, a 1971 unpleasant encounter with Mr, Echols, the Direstor
of Personnel, who refused to show him a document and would oniy
Yéad to him a smal) Portion fram it - this caused his réquest and
subsequent interview with the PCI, Mr. lelma), and 2) at the
reality that the file contained nothing actually derogatory
(he stated he had seen and signed the fitness reports so these
represented nothing unknown).

The major portion of the time was consumed tn my listening
to: his. evaluation and assessment of the vartous supervisors and
co-workers at NPIC end their shortcomings. He regaled me vith
i mush of his background and history with the military and initial
: i application and entrance on duty with the Agency; his ‘personal |

acquaintance and relationships vith notablea - a former American

Andassador to Ethiopta, Joseph Simonson, the Hnperar of Sthiopia,
H several Generals and Congressional Personalities, Mr. Helas ani
! Mp. Arthur Lundahl, and his membership in the Explorer Club.

Presently he {s Vice President for Sales of the Environmental
Coating Industries Corporation located tn Annandale, Virginia -
the company removes corrosion and stains from surfaces, He ,
offered the company services at the 19TA Alwmat session, to
clean the stains fron the Wathan Hale statue at the front of the.
: : building, at a cost of $3300. He plans to follow-up on his Pro-
ro posal, since he has not heard anything from the Agency.

‘9 SCTE

Ys

uG,

14-0000

He mentioned that Mr. Blake, at the direction of the DCL,
(1975 Alumni Day) vas to explore and advise hin (Makeymiec) of the
posslbllity of. striking and iesuing a medal to about 200 Agency
personnel (of whom he ta one) for their participation in certain
aspects of the 1962 Cuban eriatia. ;

Our meeting ended vith Mr. Maksymiec indicating he had ‘no -
intention of "going efter anybody,"

but he was curious what ‘was in. :
bie file, and that was the basie for asking to see it. :

“Abraham Schwartz

1


H-00900

SECRET

—
ee er CATION UF “SHMENT OR CANCELLATION
OF OFFIGY COVER BACKSTOP

FILE NuMatR
llolit
EMPLOYEE NUMBER
035055
0 Caro NUMBER
air Korce

CHIEF, CONTROL DIVISION ‘

TO:

Aan CHIEF, CONTRACT PERSONUSL DIVISION,

cuter, OPERATING COMPONENT (For action).

NPIS
iPr

OFFICIAL
COVER

REF:
Porm 1320 Drp FEB 71

Supstcr

| RAKSyrizEc; ilyroslaw a,. _ * | hogistical support Grp. Proy,

R UNBLOCK RECORDS

CANCELLATION OF OFFICIAL cove!
i Use Only

ESTABLISHMEN
Copy 20°408- 11) Operational

(OPM 20. 4800-17

i OF OFFICIAL COVER Block” RECORDS

A. vinmananiatieoe ___ pays
—
EFFECTIVE DATE

8. CONTINUING AS OF:

SUBMIT FORM 642 To CHANGE LIMITATLON CATEGORY.
7) :

SUBMIT FORM 642 TO CHANGE LIMITATION CATEGORY.
7) (HB 20.

(HHA 20.

RETURN ALL OFFICIAL OOCUMENTATION TO ccs.

ASCERTAIN T'
CHHE 20-18)

HATLOTA | W-2 BEING ISSUED.

FOR CCS INTEANAL USE ONLY

. - 00 NOT weir T .
CGBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS FIM THIS BLocK
COVER. (HR- 240+ 20)

SUBMIT FORM 1323 FoR TRANSFERRING COVER
RESPONSIBILITY, (HR-240-2 e)

SUBMIT FORM 2688 foR - HOSPITALIZATION CARD

RIMARNS ANO/OR COVER Histoay

O'statourion: sore ps co
corr 2. OFcearses COmPougnr
corr 9. o/os

tee, ae OL/sauave
coer oS . oF

copy @ - ces + rose

Foam,
ae rey

1155] USE HOerroUS GOITION

14-0000

SECRET

HOTIFICATIOM OF ESTABLISHMENT
OF MILITARY COVER BACKSTOP

ATC

li August 64
Ustamisuen FoR

K-8235
bo CARD NO.
B8995

EMPLOYER NO.

’ Porm 1322 16 June 64. Requesting cover.
maLiTApy COMe Mecector as TASLISMID a

“Logistical Support ‘Group, Provisional

OPERATIONAL PURPOSES ONLY

te - Block Records: — -
(opuriy 19.890-31)

o, Tomporarily for

_ days, offective : . ‘ . - .
b. Continvirg, etective Bo _
Submit Form 642 to change limitation category.
(HAR 20.75
— Ts fag

[x ] Ascertcin that Army W-2 boing i bdo SEE
(HB 29-465-1) :
BR Hi

[x ] Submit Form 1322 for ony souk i PEP ie rane 2, los

(2 249.356;

C8 249.2453

Ce |

[x | Cover History Nov 61-present-overt-NPIC

Ariens tt ovat be

wtLitamy coves, coe

[x ] Submit Form 1373 for tontaing cover responsibility.

cures,

i Tt Sar 652
DISTRIRUTION: Copy 3-FOD, Cupy 2-Opecating Component, Copy 3.05 pros? bey 4-OL/TELSVC, Copy 5-PSD/OS, Copy 4-Pile.

Tea W551 il ysoas DG SECRET [eet (1820.49)

sors oo}

14-00000

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1 :
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3 ; NOTICE OF EMPLOYER DESIUNATION F2a TAX PURPOSES ani
ce ; i
: Q35455  MAKSYMIEC MYKOSLaW a at < 4
a) EMPLOYER IS CIA tg OF o> une ggp4 > i
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2 HAUL

AL AUPIONIT /

RETAREMCHT CSC DISAGILITY F aUM LWP [07,50 (71

_ on preennnen ye .
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0372 A2358 ALLEN huis 1, 4255-1032-0008 vEPr
0378 SaELT: REUCHERT nAeRy --3255-1032-6000 DEPT
; 0378 055262 HOTHES GORROK | 3255-1u3z-4000 DEPT
0382 C235918 DEARSTINE RGOMAL '$259-103z-n009 bEeryT
u3u7 v22u03 CIAMPA JOSEPH & 3255=1032-6000 EPT
0387 J35655 MAKSYMIE?® AYRGS 4255-1032-60uy Err
399 908633 BUMARAY GEORGE 3255-1032-6900 Gert
9398 097397 3255-103¢-e000

. i
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CE ‘YTH Tree PRG SyIbes 50 Or PuRLie La. ay - 79% ra
Wee DATES OY AUSU3T Tease, SaLatY |S ayueSTey ZS FOLLOaS
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|

52580, 11/26/61. S =07 2 fb 3,725 11/25/62

ib 34580 11726761) © -07, 2 | 54725 11725762

B. Remarks and Authenticotinn
“NO EXCESS LKOP

/ 7 EN PAY STATUS AT END OF WAITING PERL OD

/ 7, LYOP STATUS AT END UF WAITING PERO

CLERKS: |NITIALS AUOLTED BY

‘A CERTTFY THAT THE WOR OF THE® aaOVE Naveen EXPLOYEE |S
_OF, AN ACCEPTABLE LEVEL OF COMPETENCE,

va

; “SIGNATURES / fs f pooh DATER 8 Oe
, EGECHOLS #7.
: PAY CHANGE NOTIFICATION ~

: Ver 300 OST Ronen an

SAD See


ragga

“SECRET

BWS: 22 JAN 62... iWhen iled Int

NOTIFICATION OF PERSONNEL ACTION

4, SERTAL NUMBER 2 WOME (LAST-PIEST WOOL ey

035655 ROSLAW A a. _ ee

cn MRMTUCUN INTE Ci

3 NATUSE OF PLAsoNNTL aC ia

REASSIGNMENT Ol ; 20) 62! REGULAR

ET Te HO TRACT AH EGE C8 Otmes CecaT AuTHOa Maino

tv

x yuy { Prws i
. ron | ace | [www {2255 1010 7000 | 50, USC NO3 J

¥ ONGAWIZATIONAL DESIGNATIONS “TV Te Vocation Gr OfrieTaL STATION >

DOI NPIC

DATA MANAGEMENT DIVISION
TECHNICAL BRANCH
PHOTOCRAPHIC LAB SLCTION |
CONTACT PRINTING UNET 'WASH,, OD. C,

a ert | at ne rl
VD POSTON HUMBER V3, CARECU SERVICE DUSIGNATION

Vy. Position Fite

PHOTOG GEN - 0239 |} IP.

a ~ — fom.
YS. OCCUPATIOMAC SERIES 16. GRAOE ANd STEP (PF, SALARY OR BATE

1060.02. __{o7 1 5355

: Te. CLASSIPTCATION SemeQURE 165, 40, ole

ie ataans

>
FL as es
HF. action] 20. tmpiey| 21 orFice CooING «92. siavtow ; a2. imidcnte -| 24° Hagin | 8 ate OF BIRTH | 26. GATE OF GRADE P DATE OF LE:
peers SLPHABESIC cont [. fO0E. ode wo oa, vA “Oe va, wo oa a, :
92500 NP 1c | 7501 3, : i] oyu | | 30) 17
"78, WTe Carin rorya TiREBENT DATA 31, SEPARATION | 37, CORRUCTION CANCELLATION cara
Soa] neta Fe OATA OBE / [ree bara [roo bara) DATA
- : ie 2 2
le a One 7
ET 36, SLEW. COUP. OATE | 37. 10NG COMP. OATE | 34. WIL SERV. CRIOITA@D | a9, Ltd INSURANCE 4 40, SOCIAL SECUBNTY WO, 3} “
moe ae Pa Pee Pes [bv wance Pan SE ;
Bem Teves | ”
oe ne ae Sk en ne RE SO te
PREVIOUS GOVERNMENT STRVICE DATA 2 CAVE AT a. VEOERAL TAX OATA Via State tax OaTA
0) 0 PREVIOUS BEDVICE cont perrrereantry CObt | ho tha uennetiona | roam Rtscutes "] coon [no taxtsiate coor
1 NO MAGAK In aenvice toes tv eves tren,
a. BAR IN BEKWICE (LEOS Toa td woes a.mo beso
2. : i .

Canin SERVICE (MGR Beam 12 wos)

SIGNATURE OR OTHER AUTHENTICATION

POSTED

whi 2S les 2, y
Fon 1180 Use Previous SECRET

eal Edition . .
OMe fae 2. . oo!

16.80)


14-00000"

; 7 SECRET
BWS: 29 NOV 196} (When Filed In}

V, SERIAL WUNDER 2 NAME [LAST FLEE BIOL}

035655 | MAKSYMIEC MYROSLAW A

1 Natya OF ‘tient rath ~—— i 4 CHRECIIVE DATE | CATEGORY OF EuPlOvMENT
EXCEPTED APPOINTMENT res 7
(CAREER PROVIS LONAL ) : MW, 26 61 : REGULAR
. ros xirme | voGe PD COST CUNTER NO, (HANGEANE PC ON siete ee AUTHORITY
wy j oo | 2255 1010 7000 SO USC 4O3 Vv
¥. ONGANITATIONAB DL STGNATIONS _ 0, LeaUON OF CHTICIAL SATION
- OO! NPIC |

DATA MANAGEMENT DIVISION
TECHNICAL BRANCH ; .
PHOTOGRAPHIC LABORATORY SECTION i WASH,, D.C,

1 Position TINE — ; ite POSITION wUMGER 1). CAREER SERVICE DESIGNATION
PHOTOG GEN [0049 | IP.

TH. Cassia tion SOMCOUEE 1 (Gs, th ey ¥ OceATONNC SERIES | 16, aE aD STEP gaan oe IE
GS | 1060.02 {ors | 5355

“SUBUECT TO THE SATISFACTORY COMPLETION OF A TRIAL PERIOD OF .ONE YEAR,

“SPACE BELOW FOR siVe USE OF THE OFFICE OF PLASONNEL ~

18 ACTON 20. Employ. | 1, OFFICE CODING) 99 Statiow 7 i. INCRE | ta. ag] I ORTE OF-wiRIH 1 26, 126. Date OF Gaade | 97, bate OF tbl
coor | OR ererey rameter errs | cone ter 5 x a [aa
youl j lo 92500| NPIC 75013, | OF 30, Viti 26 eis rt 26, 61

38. ATE EXPIRES ~ im. SPECIAL 20. RETIREMENT Data the SEPARATION: 792, CONRECTION/ CANCELLATION mata 33. SEQUNTY [34 Sen
=>] REFERENCE “Tiose DAA CODE eee we REQ: nO.
: m i ue v / wee ! MO, Da, i j{JEOD DATA ous! 5
. anon me t nl | |

ei 40. soceat SECURITY TY 60.

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rer Be 06, 19,41 {11 26, 61 | Hono iG |“ Vj } 001168309 | ~
“PREVIOUS GOVERNMENT SERVICE DATA Lave OF! a. FEDERAL TAX DATA m7 STATE hi DATA
CG0k [0s wo ruF vious saAvVICE cove eeerereerrriexrrs iso TAL €rErrions | conwayiculaa [er so teclstareccoa]
Ie: + NO DHEAR IN BERviCe Deere} vo ves a 7
GENE USE TLE 8g eb | | vr ai
— SIGNATUSE OR OTHER \UTHENTICATION : _
Tn ; wonneen co

rm 1180 : Use Provious SECRET 2-9
oe a ater


14-0000

ee SECRET

- wer . (Phen Filted Un).

EMPLOYEE SERIAL NUMBER

035055

FITNESS REPORT

SECTION A . GENERAL :
1. ame (Loot) (Firat) (Mitdie) [2 oare oF aintn [3.cex  . Ta onape ]8-3D

1/30/17 Ho GS-09
Ie OFF’OIV/AR OF ASSIGNMENT [§. CURRENT STATION

MPIC/TSG/RED/ATB Wash, D.C.

Maxsymiec, Myroslax A.

4. OFFICIAL POSITION TITLE
D4 E Techniedan

% CHECK IK) TYPE OF APPOINTMENT

RAGEASBICNMENT SUPERVISOR

Sf CaREER | ; RESERVE

RE ASIIGCNMENT EMPLOVER

SPECIAL (Specify):

12. REPORTING PERIOD (From- to-)
; ce wo . . -{30 Sept. 1969 - 30 Sept. 1970.
: > whee

“.- {SECTION Bs tC -PERFORMANCE EVALUATION :
“UUnsotisfcctory Performance is unacceptable. A rating in: this Category requires immediate and positive cemedial action. The noture of the action
“eould songe from counteling, fo further training, to placing on probation, to reassignment or to separation, Describe action taten

of proposed in Section C, : a - . :

M-Marginal Pestormance-is deficient in some aspects, The reasons for ottigning this rating should be stated in Section C ond remedial actions
7 re ___ taken or recommended should be described, . :
~ 4 P-Proficient Performance it tatisfactory, Desived results ore being produced in the manner expected,
f SStrong ‘Perfosmance is choracterized by exceptional proficiency,
: O-Qutstanding "Performance is t0 exceptional in relotion to requirements of the work ond in compariton to the performance of others doing similar

work os to warrant speciol recognition,

List up to six of tho most impertant specific duties parlermed during the rating period. Insort rating letror which best doscribes the
monner in which employes orms EACH specific duty. Consider ONLY effectiveness in performance of thot duty. All employees
cent with Supervisory responsibilities MUST be rated on.theie ability to supervise (indicate numbor of employoes auperviacd).

RATING
LETTER

a : *hSeieee’ phigsical ‘scientists on their research projects by assisting with

optical bench experiments and performing routine data collection utilizing
“| uthe supporting metrological equipment.‘ a oo : ut
SPECIFIC OvUTY NO. 2 ; . oe .
Operates electro-optical laboratory cquipment-such as densitometers, sensi-
tometers, microdensitometers, photemeters, and microscopes with minimum
supervision, ©" -
. SPE CAPIE DUT Bu
: Performs Precision photographic processing of film and plate material to
: specific tolerances of density ani contrast in support of on-going research
frojects, . a oo ‘

RATING
LETTER

SPECIFIC DUTY NO.4

Assists physical scientists in the eraphing and routine algebraic munipulation .
of data, < , so ’ ve SO ’

RATING
LETYER

SPECIFIC OUTY NO. 5

Prepares written reports and briefing materials on assigned projects.

SPECIFIC GutY No.6 . . wat
“wie - ; go oct 19
Performs periodic maintenance and calibration of laboratory equipment, nf M

MANCE IN CURRENT POSITION ;

‘ ~OVERALL PERFON

¥@0 which influences hia olfoctiveness in his current position auch as por-
, job, cooperativeness, pertinent personal traits of habits, and

ge of amployoo’s overall performance duting the rating period,
cewotely reflects his level of performance.

Toke into occounr everything about the empleo
fovmanee of specific duties, Prod:etivity, conduct on j
particular limitations of talents, Based on your ‘knowled
place the letter in the rating box corresponding te the statement which most a.

COT
fedeted Nem ahem

7.00

roum = 45 ovsorare PREVIOUS EOLTIONS SECRET - (EES


-

‘ SECRET
fOben Bride Ing
SECTION C NARRATIVE COMMENTS
. - SA niece ee
ladvedre siynitcunt stencths or meubuesses demon

struted ia current potitan beeping in proper pertpecstion heir solation ship to
overdll performance, Stute suguestions made for icimwovament of work pedormmunce,

on foreiya lunguade competence, if redvited' for curre

Give cecamnendotions bye tesining. Corneeant
POSition Amplify of eeplain eati > given in Section & In provide beet

basis for dete futuee personnel Getion, Mm ec ob petfotinence Supervisory dutias and cant cunsciousness
ine vie ol pe L_spoce, ewwiprent and fe cust be commen fait ipplicuble. Weatra spoce is needed 1a complete
Section C, utroch a vepacate <heet of paper. ” oo

monagesial

During the past reportins period, Mr, Maksyndoe't: responsibilati
\ pointedly directed toxards the requirements of a Laboratory technician as deseribed
\an the position deseription ord le towards hig previous utilization ssn a phiotor-
apher. A conference was held vith hin on 135 June te explain the need for this ren
direction ant a memo ATB LT/71G dated 16 June wae propored and furnished to him
detailing of performing these duties and wae enzxicus to stop being ty Soot an
lly oriented

Keng,
activity. The specific duties outlined are listed in Section B of thisz report,

WELLS More

a photographer und. welcomed the opportunity to move tate a more techadle

: It was expected that there weald be a learning perlod during which hie pro~
ficiency would gradually increase in these new respontibilities., Hout

e Cy, peourcus
has'nct been as rapid as ‘had -been hoped due to what bppears to be a lash cf ©
initiative on his part coupled with cevere emotionsl outbursts against. hie tnmaecdlate
Supervisor and other Center berconnel., The latest of these occurred on 22 Ausrust
‘Lu which he used abusive language in the presence of other Branch personel in
cluding the Branch Chief ageinet his Section Chief, ‘This necessitated «4 written
letter of reprimand and his transference to direct supervision by the Branch Chisf,
and az of 5 October 1970, te another Section within the Branch,

The ratings of Min Duties 1 and 2 of Section B reflect primarily the subject's
reluctant participation in data collection and his lacz of Initiative in learning
the operation of the miercdensiteneter. In dutics 4, 5, 6, he hos require?
‘{ imum emount of supervision which ‘nas resulted in senior personnel doing the work

SECTION D CERTIFICATION AND COMAENTS _

ua a ee BY EMPLOYEE :
; Jot UCERTIFY THAT | HAVE SEEN SECTIONS A, 8, ANNO C OF THIS REPORT

“Lin, CO Liban since
fe

2. BY SUPERVISOR . 4

2
UNDER wy suBe Rises BEEN 1F THIS REPORT 45 NOT BEEN SHUWN TO EMPLOYEE, GIVE EXPLANATION
DATE GFPSCIAL TITLE OF SUPE Ty 3 Ay VIG NATURE

Je/ ; | ¥ UPERYISOR BE OR Beay =f 2 pe a eae
v 7 . - f= ': Co
‘ | Chick, Aivanged Technology Branch -PRAIK BOOPEIZERG
: i :

3. BY REVIEWING OFFICIAL

COMMENTS GF REVIEWING OFFICIAL

I concur with the rater's comments. We have been making every effort
to aid Mr. Maksymiec in becoming an asset to RED as a laboratory technician,
To date, there has been little noticeable progress; in fact, the temper out-
bursts menticned above indicate a deteriorating condition. Unless this

-Situation improves, it may be necessary to recommend teruination action.

As. I have stated in previous comments, it's unfortunate that he cannot
find a position which takes advantage of his expertise in photography, since
this would go a long way to resolving his problems. oO

POAT E POFFICIAL TIFLE OF RE VIE @ING OFF: Ctag {TYPED OR Paiiit Cipw hp ang Bias TORE
te Oe
9 October 1970 - _ C/Research & Engineering Div.‘ NICHOLAS .R/ GAROFALO

* ott ‘ to SECRET

‘ : 7° °
we a neh ot “Me


1400000,

Mr. Myreslaw A. MAKSYMIEC FITNESS REPORT
Section C (Continued)

themselves, It may be argued that this lias not provided him with sufrictent
Pirst-Level supervision to allow him to learn the skills required to perferm
these duties .

Tu. insure that he is eiven every opportunity to perform in his new
section, written assignments and accomplishments will be submitted on-a
dsily basis

In line with previous . reports, it iy still felt that Mr. Maksymiec is
essentially mis-assigned as he ia an expert photographer and should be assigned

in some areca where his skill can be utilized to its fullest extent.


14-0000

SECTION B — —

SECRET

-. (Phen Fitfed End
. EMPLOYEE SERIAL NUMDER

FITNESS REPORT
GENERAL

038005

SECTION A
TT Naan: (Laet) (Fieany ?
MAKS YMIEC Myronber A,

74 GRADE 13. 30

| S-09 | IP

OUMEMTIA. CURRENT STATION

8. OF FICTAL POSITION TITLE
Doand E Tech

Washi

HECM UND TYPE OF APROINTMENT

" \¢aneen RECENVE Deterueane

CARRERE ROVISIONAL (See inetructions - Iactinn C)

jREASSIONMT

SPE cial (Specter
OR TING FERIOO (Frum: te-)

0 Seplember LOE = 30 September’ 1969
PERFORMANCE EVALUATION
Porlormance.range from wholly iiadequate to slightly lees than satisfactory, A rating in this colegory requires

W- Weak
positive remedial action, The natura of the octian could range from counseling, to further teaining, to placing on
probation, to reassignment of ta separation, Describe action tohen or propased in Section C.

Porformance maata.all requirements. It bs entirely satislactory and fs characterized neither by doficlancy nor

1%, GATE REPORT OUK IN OP,

A+ Adoqunte
oxcellence, .
Perlormanco-\s more than satisfoctary, -Destrod rosulte ara boing produced in o proficient manner,

$+ Strong Porformonce is characterized by excoptional proficiency.
O- Qytstanding Performance 14 10 excoptional In refotian to requiramonts of the work and in comparison to tho performance of
others doing similor work as to warrant eveciul recognition,

P + Proficient

1 sBocitic duties parformad during the rating period. Insert rating latter which beet douccibes the
EACH specific dty. Consider ONLY effactivonoss in peslormonce of thot duly, All employees
MUST bo roted on tnis ability 10 wuporvise (indicace numbers ul amplayaes supervised).

List up to six of the most impo:
mannor in which omployoo per
with supervisory fosponsibl

sefcime oury NO. VConducts experimental luborgtory tavestivationi. related to the terran
This davolvea the determination of what approach to take

photographic process.
Loa given problem; Keeping detailed records of varlous experiments tried; A
determing resulta and making cecemiendations tor ble solutionay _
arecinic ouTY No. 3 - - . . . : . eres
4s Senior Thotographie ‘Technicisn han the responsibility for maintenance of
ra cQuipment. Helps P

all photographic equipment and aidg in the selection of ne

RATING
LETTER

upplies.  -

é-in photographic Laberatory practice, camera operation and

in the procurement of photogrerh

SPECIFIC OUTY NOS

Instructs-other
maintenance. .

SPECIFIC OuTY NO.é .
Photographs special equipment and
prints for display and report purpesc

serimental Luboratory neteups; prepares

SPECIFIC DUTY NO, S

SPECIFIC OUTY NOG

~ OVERALL PERFORMANCE IN CURRENT POSITION _
RATING

Tako into secount everything about tho employee which Influences his offectivonens in his current position such as pore | SETTER
formance of specific dutios, productivity, conduct an job, cooperativenass, pertinon? personal traits or hobits, and
particulor timitution’s of talonts. Based on your tnowledge of employee's overall. performance during the rating period, Pp
ploce tho letter in the rating bom carrasponding to thw ssotement which moat accuratoly reflocic hia lovet of partormonce.
. {aa
fede et tre wren

“SECRET “mes

A
tae 45 vec enavious corrions


14-0000

SECRET
gOhew Fi dtedt fod
SECTION C NARRATIVE COMAENTS

indicate significant atrengthe ar weakn demonstrated in current pveltion heaping in precer Ceenrectve thelr colationthip to
overall performance, Stute suggestions made loc improvement of work Lartgrmanees Give recemmensz, 8 fur troining, Comment
on foreign language tompotence, Ih required lor current position. V giver ie fu'ttion B to provide best

bosis for determi pereannel action. Mun: sand cost consclousness

In the wse of pa ment ond funds ace is needed to complere |
Section C, attech Poper.

Mr. Makewniee La bapically an excellent pacvtoz
hand as a D&B Techie i Unrortimately, he must
classification afi a DEN Technician, and he a.

In his previgun titness report’, he ws
Anterest toward becembayt a technician and ses;
hac not conpletely heeds s advice,

Two distinct training sctlvities weee sevined for as
transition: a courte of inbtruction in mata nes ary

_dpties, and on the Job project work. The former pers
presumably to hie lack of ability and Jor dateceste.
“Instruction, Ia sigsistance on a project for jeradop lige nse
effective, and the project was a success; however, his thin know
method diminished hia appreeiat lon ot the ¢ spt or experin ontaLy
variables. In ‘short, he had to be watched clazely to insure that
"Leprovement" did net disrupt the experiments) ylun. His interest
this program were commendnble, and his over project pertormar
Mr. Maksymiee {3 basically miseassiened, His abliities 5
in the photographic Meld whore he dovs a very commendable job.
Laboratory needs the lnerviees of properly trained technict dans to ass
scientists in their research efforts. Since #
this area, it Le ogain recommendad that suiteite empley ne

w 29
Gdiuiliy Lends a
to hie Job

Tore

“4 to direct his
activities, He

in making the
technicdants

short time, due [|
dittle from this
fenk detector was
doo of the welentirt
controlled

$ well-meaning

ut cooperation in

>was adequate.
weresta Lie

r, the

ist’ the physical
is not in

found for hin. i
Zl
SECTIOND. a —EERTIFIEATION "ANG COMMENTS
\, : “BY "EMPLOYEE E :
1 CERTIFY THAT I HAVE SEEN SECTICN: 4, B, ANO C OF THIS REPORT

VATE TVIGNATPRE OF EMPLOYEE

SOM oe eF | fleopteslrs F .
2. ” . - BY SUPERVEOR

IP THIS REPORT HAS NOT DCE Soren TO RMPLOYEE, JIVE EXPLANATION

OFFICIAL TITLE OF SUPERVISOR | i ™ be ce PRINTED sae “J
Alef, Exploratery Lat otter fp “7:
ALB/RED/TSEG = Z

BY REVIEWING OF FICIAL

wes EMPLOYEE HAS OF RM
UNO MY SUPERVISION

COMMENTS OF REVIEGING OFFICIAL

Maksymiiec, I feel that we

In light of the past and present ratings of Mr.

Beery effort should

‘are doing him an injustice in keeping him in nis present pest.

.

be mate to find a more suitable position for hin.

TYPED OR PRINTER SAAR

fOPPICIAL TITLE OF REVIEWING OFFICIAL

Gare }
Chiet, RED/TSSG |

15 Octaber 1959
SECRET : : 2


1400000

at a vee . ‘ys
. SECRET roe a

When Villed tnd

JEMPLOTER SENIAL NUMBER

FITNESS REPORT

QU5G55

a
- 7 __ GENERAL . eee peer! eee .
(Frees ‘eigte) fas Gate oF mate [see if @ T3030
[ef oof Gy | tp

LMT STATION

6 Orricial PUsitian TITLE

a

Doand EF
(4) thr oF pe Pont

TaueRReon

EMPL GORE

& }
PC aah rteeProwisiOnaL (See ineinwiions = $e

H eeenatin

{SPECIAL fipecttys:

PRCIAL (Spacttyds
OWTIND PEWIOD (Feu tun)

i. pare REPURT c
30 Ocbobe
SECTION B .

W- Weok Perlormance ranges irom wholly wide quote ty slightly lese than sotitloctory, A tating in this category soquiros
medial action. The nztre vf the action could range from counseling, 10 fuethor training, 70 placing on

probation, to reasalgnment of ts sesurction, Deacribs action taken of proposed in Section C,
atl requiromerss. It 18 entirely sorlsfactory and Is characterised neither by deficiency nor

OP.

A+ Adequote Performance mo
: eacellonce,
Performance ie mora thon sovistocswy. Desired roaulse are being produced ina proficient menner.

Performance is characterized by #+-eptional proficiency,
Performance i 90 exceptional in reivtion ta requiroments of the work and in comporlson to the parformonco of
others doing similar work as to waweunt special recognitian,

__ SPECIFIC OUTIES—

Lies upto sia of the mast Important specific duties serfurmed during the rating periad, Insart rating letter which best describes tha
monnar In which employ arforms EACH specific ay. Consider ONLY effectiveness In performance of that duty. All employees
with euporvisory responsibilitios MUST ba rated on stwir cbility-to supervise Gndicate number cf employees purer vised),

dubvoratory inventivation: reluted to the

3 the determination of what approach to talked

2 of yacloun experiments tried;
for ponsible solutions,

spRciric DUTY NG) Conducts experimen

photographic process. This inve:
; ee

to @ Kiven problem; ‘keeping detailed record

de duloc resulta and makins recammendatic

SPECIFIC DUTT WR, 2 . .
As senior photographic technictas tas the responsibility for malntenanee of
@1l1 phetovraphic equipment and aics in the selection of new equipment, ilelps
in the procurement of photographés: supplics,

SPECIFIC OUTY HO. &

Instructs others in photozraphic laboratory practie:, camcra operation and
maintenanes, ‘ .

SPECIFIC OUTT NO. 4

Photographs special cquipment ast experimental laboratory seteups; Prepares
prints for display and report perypcecs,

WaT ING

SPECIFIC BDUYT HOD

SPECIFIC DUTY NO, 6

Rating
Lervaa

OVERALL PERFORMANCE IN CURRENT POSITION.

Toke inta account everything about tho empioyee which influences hie silectivensss in hia currant position such cs por
formance of apecifre duties, productivity, conduct on .ub, Cnopetativensss, peslinant personal waits of habite, und

particular limitations of talents, Bosed on your knowledge of omployya's overall parfiurmance duing the raring period, -,
ploce the letter in the rating box corresponding ta tha ereienent which most accwotely reflects hie level of performance. v

ror 45 vee pas vious colrioms _ SECRET

x


14-0000

SECRET

CPL Fy tied dnd

“RARRA ATIVE COMMENTS

en ,
ted in curcent postion heeping in sroper perspective their relation ship to
tol work petlarmunce. Given racommendations for frolning, Carement
ence, i required for current position, Amplify ov explain rotin: given in Section B tu provide baat

ana or Rppere vary | duties ond cout conael
eahl 3. Werte space is

SECTION Cc

tianificant strengths or weaknesses demen ste
overull performance
an foreign langueg
banie toe "sl porens (utvre Fersenael uction, Morner of perfor
gad tyros, mu be
per.

hr, Maksy waiects ability as a stalfy photoxrapher is uy 5 lished, His s
pietouraphic ability is considered ty all dn the Center as zeellent,

It has been peinted out to Mr nasyInfee that the Laboratory ders not
bave o basie requirement, er a slot ter a photogeaplicr, ond since he is curried
of aD & EB technician, he showld be more qualiffed than 1 in ii other aupects
af photographic and sclentitle research ether than obra. “pleture taking", us
he does not have the basic Foundat don either In formal educdtton cr experione
16 perform successfully ayn aD & E technician, Thle lack of ¢ ualification in
this arva can be partly explained ly two faetorn: (1,) Mr. Makayniec's position.

decerlption was recently changed due te the reorlentatlon of the laboratory's
primary mission and Sunctdon; and (2,) Beenise of his previous photesraphic
recponcibiltties he did not have the opportunity to wain the new skills required
te M111 his new duties as aD & E techniclan.e Mr, Makeyalee will have to |
be restrained from a photographer into aD & FE teehnieian io that he can con#
tribute more to help selve the laboratory. anoivned tagkn,|
Mr. Maksymiec still had problems in iia relatlonship with other members
of the Inboratery during thia reporting perfod, It appears to have been. about
hin concern with his ‘pos nition in the laboratory grade stmicture and his feellng
that he was "ignored" by oendar members of the laboratory, Hr. Maksynice
ceems to have had a teelia that members of’ the laboratory tueluding his Chtef
_ did not recognize his abllity as a Photographer and pay suitable deference to his

ad

ee
, . ~ Continued on another sheet.

__ CERTIFICATION AND COMMENTS

.BY EMPLOYEE
1 CERTIFY THAT | MAVE SEEN SECTIONS a, 0, AND C OP THIS SEPGHY
cern

MONATURE OF EMPLOV YE.
eg wah, tel - J-F_. Bl ihoe

7 OY SUPERVISOR.

MONTHS EMPLOYEE HAS BEEN
UMORM Me SUPERVISION

TY PELs PagA TE WAME AND SIGNATURE
OS RK faee a a

. BY REVIEWING OFFICIAL
COMMAMTS OF REVIEWING OFFICIAL

In the latter

I concur in the ratings and comments of the rating officer,
coratory were being

part of the rating period the activities of the Exploratory Labo
Changed from ad hoe researcn projects to a directed provrar of planned investi-
eations against NPIC and community problems Thia chanve in activities reduced
the freedom of choice in taszs to be ace mplished..and increased the demand for
versatility in laboratory personnel. Tre lack of freedon ana tne assignment. of
unfantijer tasxs are distasteful to Mr, Maxsymlec since he doubts that these

activities will pravide the personal recognition he has Gnfoyed ror many years

e5 an outstanding phote pher

Continued on ano ro sheet,

b naa eo ae anb Slonaruge
Aik PC Cet

ng
POPPICIAL THTLE OF RENE OWING UPFICHAL [TTR

i
Cnler, ESP/TIsG i 7

SECRET ~
Sayer ~


14-0000

Maksymicc, My ros law eng Report
port.

Section C Continued

He has also had serious disgagrewmentes
hember ot the laboratory which
isteratery chiel. A major diz
Place recently which resulted from his fecline that.
unfairly without consideration for his, Age, khowleds

witha sumer ditern and another
bled by conferences with the
the Laboratery Chief took

! he had been treated
“and training.

As a result of these problems, a series of conferences with
Mr. Maxsysiec and centor memonrs of the division were held in order
@ a possible solution for his prodlen, Because of these meetings,
chouse training progrom has been dnitiated for Mr. Mnksymiec,
[ heped that this will de much to alleviate his feallngs of represe
Sigs and make him a contributing taembes of the laboratory once again,
\

-
D
or

\
Section D Continued {
: , i

1n spite of the reduction {n need for Mir, Maksymiec’s primary skills,
he has expressed a dasire to continue his present acctenment, Therefore,
& program of retraining has been instituted to broaden his knowledge and
isercase his versatility in carrying out laboratory investigations.
Mr. Maxsymiec is a hard workin, dedicated employee and there is every

reason to expect that he will trey hard to overcome his deficiencies,
Eowever, his age, Limited édiucation, previous success in photography,

and lack of xnowledve in sciennLfic methods Pose serious obstacles to
te overcome, His present attitude is characterized by his own statement,
"roa we how, and I wlll do {t.” :

SECRET


14-0000

SECRET

PBder Fallot Pel

FITNESS REPORT

flest}

TC OF wrare |
eral TGNZ: OM

SFE CIV AR OOF ASSIGKUENT OL

Tce

= VECH

I
{IP

PTR MECC RTING PERIOD (fra Ro}

a

RW Get eks ‘ Soy September 1956 = 20 September pair
SECTION BO __.. PERFORMANCE EVALUATION enna
We Wook Performance ranges fr. ghily less than sotislactory. A poring in thls Category twovires
rest temediolocrise. The nature of the ectic

Y fe could range from counseling, te further training, to placieg cn
wrobotion, to rcossignmec? or to separation, Describe action tukon oF proposed in Section Cc.

A. Adequate Ferlormance meets ofl veguirementa, Wis ontirely satistactory ond le choracterized noithor by deficiency mee
: excellence, . .

- P+ Proficiont Pestoemance ts more then satisfactory, Desired results are being produced in a
$- Strong. * Performance ia characterized by exceptional preficiancy,

O - Qutstonding Pectormance is 10 axcestional in relation te Feavirements of tho work and in
. _ | Stheea doing similar wok a3 to warrant special recognition.

sroficlent monner.

vemperesion to the performance of

SPECIFIC DUTIES ___

List up to six of the most importent spec duties pectormed during the rating period. Insert rating letter which best describes the
manner in which employee performs EACH swecific duty. Consider ONLY alectiveneas ia performance of that duty, All omelavees
with supervisory resparsibili MUST Se cvred on thoir ability to sucervise .

SPRCIFIC DUTY NOY Assists

: carrying out | Certes
photographic rerecessing, previding assistance and consultation cn the practical : ,

. ir projec ts,

application ef photography.

cific DUTY NO?

ctographic technician has the responsibility for
maintenance oF all photogrsyhic equipment and aids in the selectien of new

equipment. Eelys in the precurement of photosraphic supplics

t Se
SPECIFIC DUTY NOS Instructs s in photesraphie laboratcry practice, camera
operation ani =sintenance, : ;

: boy
sPeciric OUTY NOS Photograpi:s srectal equipment aie experinental da boratory. EA
set-ups, * Prepares prints fer display and report 5 wposes, : :

. Ig
I

SPECIFIC OUTY NOLS

wat —

PERFORMANCE IN CURRENT POSITION

° 2
Lette

- " if
Toke into account aver yt! about the emblovee hich influences Sit elfec ticenans in his curtent position euch as pere q
formance of spec 3, productivity, comdve? an job, coopera: MOVE, pertinent personal trate of hobite, ond
particulor limitations ce talents. Based on var Lnowledge ct ewoiovee’s overall performance dving the raring pariod) = &
place the letter in the reting bow Corresponding to the statement hich cost ecewately rofiecta hie level of petlormance, H

t

yer’ 45 eS PRC S1OUS EDrtions, SECRET {SST

Aireet bag? ese elie tie mite. 1 mare


14-0000

SECRET
CBee Ba ttaoe tn
SECTION C , NAR KATIE COMMENTS
Indicate siqn-Leaut strengths or weaknesses demon steared v= ¢urrent position keeping in proper perspective then relationship to
everall perioemanee. State suggestions made for improwemess A mark pelormance: Oia te asinmen dot ons for training, Comment
on foreign language compatence, if required for current patria. Aonpliby of explain forge given in Section'B to provide bess
basis for derermining future. personnel Qction. Munner of pelienace of mana erial of Supervisory duties and cos? Consciousneas
tute of parronnal, tom tom TT + Waeera snace is needed ta complete
Section C, anach @ expurcte a ° Osy AH b/
Mr, Mansymiec continues.to excei f2 rds primary duty as starr photographer.
He processes nis own photography and +: 2 y ds Sonsis tently --
HP EE
outstanding, IM

members of the staff in assisting
of their projects,

crates most willingly with <<:
them with tre practical photographic E homens

ve been a few minor perzerete~, sonflicts on procediiral mattérs
“5 assignments between Mr. Mecryrtee and both staff: and non-staff
atcratory chief and the executive
@ to his strong desire to excel

Thece
related tc
personnel, «ich have been reported t- :
officer, TEE, It is believed that tris
at hia fob. Tris problem has been diz~:2 with Mr. Maksymiec and it 1s expected
that he will avofd such occurrences {r, the future, .

reporting period tr, vez mmier has satisfactorily completed a
a¢ in technical Yeading a:4 eriting at Montgomery’ Junior. College
Pursuing a course in Phowesrecny at American University, He is

LOU
sended for this contincwizs effort to train himself for a more

responeible pecition,

CERTIFICATION AND COMMENTS
_BY Ewes yee ee
SS 4, 8. AMO C OF THI

CERTIFY THAT 1 HAY

_ [SIGNA EYRE OF EMPLEO
: oS 1
PZ 4G> 4 f
. a _. 8Y
BES Taiside ron HAS Nar

Site Leow to EMPLOYEE, GIVE EXPLANATION

MONTHS EUPLOTEE &
UNDER WY SUPERVISION

6) | ae

cate. “OW MICIAL TITLE OF SUES aes sap Me Asien pe 7
|A/Ch/Exploratory £ opment eile Ara

2 Cet’ GO?

3.

Laboratory; i _ HENRy~2,. DOLLARD
BY REVIEWS OFFICIAL a a

*s in the performance of
worker anxious to please
=P a higher position,

ort reflects some =!
. “C3 however, he is a «
ami tc try to show that he ts car

ONaTURE

Poe meee a pe e
FICIAL TIPLE OF Me vigeme CH FICIAL TYPED OR P|

i
i

I

H —
i

eo 7,7
Lace UF Cb a ee Oi

Orfis 2 8 3


1400000

S-E-C-R-E-T
~ (When filled in)

|

\
1

MEMOPANDUM FOR: . Chief, Transactions 4 Records Branch/OP

FROM: Chief, External Training Branch/RS/TR.

SUBJECT: Completion of External Training :
to Correction of Memo Dated 10 August 1965 Binary \
ie oe This 15 to aavise you that__MAKSYMIEC, Myroslaw A, ! training
; request # R~13339 attended the following external training program:

COURSE: Color Photography MonoPack

INSTITUTION: _US Department of Aqriculture Ge: 2$ec

- DATE: 1 February - 2

GRADE:

! FOR THE DIRECTOR OF TRAINING:

Attachments:

Grade Report attached to reference memo.
Certificate of Satisfactary/Successful Completion
Certificate of Completion
Roster of Participants
Training Report by Institution

' Training Report by Student

EdTAd ite

None oo. : , im
Other: : rs)
oo . GROUP I
ae excluded from automatic
™. downgrading and

ae ; ’ declassification


14-0000

—

oe

—— ~

PICSB

SECRET

(Rhea Fitted tad

EMPLOTER SEK

FITNESS REPORT ; 7 039655

SECTIONA OC~™~“CSCSSCS GENERAL
“WNAME ffhmee (Fire) Mtttey [t. oaTE OF ulate [ise Te GRADE iso" 7 ™

‘ KR MARSYHIEC, Myronlow A, 7 30 Apr 1917 I JM GS-09! Ip
Y ° j POF F/ DIV ae OF ASSIGNMENT 8. CURRENT STATION —

6. OF FICIAL POSITION TITLE

_.. DLAMD EL TECH oo

9. CHECK (KX) TYPE OF APPOINTMENT

Cf Pb /EDLE

CHECK IAI TYPE OF

[ineriae

[owecave

ORT OVE in O.P,
1_ October 1966 _ | 31 March 1966 = 30 September 1966
SECTIONS OO PERFORMANCE EVALUATION

W. Weok Performance tanges from wholly inadequute to slightly fess than satisfactory. A rating In this cateyory raquiros

"PVa. MERON TING PERIOL (Proms to)

9
positive remedial action. The nature of the aciion could range from counseling, to furthdr training, to placing on
oo probation, to reassignment’ of to separation, Describe action taken of proposed In Section C,
A+ Adoayote Performance meets oll roquiremonts. It is entirely satisfactory ond is characterized neither by deficiency nor
a excollonce. . .

P- Proflelent Performance is more than satisfactory. Daaired tosults ore being. produced ina proficient mannor.
S+ Strong : Parformanca is charactorized by oxcoptional proficiency.

O - Outstanding Performence is so axceptianal in ralotion to requiremonts of the watk and in comparison to the purformance of
othors dalng similar work as to warrant special recognition: -

cout __.. _ SPECIFIC DUTIES |
Lict up to six of the most important specific auties performed during tho roting perind.

manner in which employoo performs RACH specific duty, Consider ONLY effectiven
with supervisory ponaibilitios MUST be rated on their ability 10 supervise (indir

et rating lotter which beat deseribes the
podformance of that dut

SPECIFIC DUTY NOT A iets senior branch members on thelr projec
Photovraphic proccssing, providing assistance and consultation on the precticadl .

application of photographye: s
SPECIFIC DUTY: NO. 2 Carries out, experimental Laboratory inveatigationa related to “waTina”
the photographic process, develops techniques, constructs supporting
equipment, — . . ‘) 6 §
: . Ag senior photographie technician has the responsibility ror Cerren
maintenance of all photographic equipment and aids in the selection of new
equipment, Helps in the procurement of photographic supplics, P.
Ci er es enna ee RATING

LETTER
t

Inetruects others in’ photographic lateratory practice, camera
operation and maintenance, ; :

SPECIFIC QUTY NO. D : ° ~ :
Photographs special equipment and experimental laboratory
set-ups. Prepares prints for display and report purposes,

SPECIFIC DUTY NO. 6
- . LETTEA

i
i
!

; ” ~ ee nas TS 7
Take Into account everything about the employee which Influences his effectireness in his currant position such as per- GETTER
formance of specitig duties, productivity, ednduc? on joe Cooperativeness, pertinent persone! troits of hoblits, end
porticutar limitatjoha'er talents. Based on your knowle ge of amployse’s overall performance during the rating period, n

ie]

ploce the letiga inthe roting box corresponding to the statement which most aceurataly raflects his level of porformance,
gos
On 45 VSE PREVIOUS EGITiONns. SECRET

4-05


14-0000

SECRET ,

(Whew Betlot Pod
SECTION C NARRATIVE COMMENTS

Indicate significant strengths of weaknesses demonstrated in current position heaping in propey

praspaclive ther relutionship to
overall perlormance. Siaie suggestions made foe improvement ul work performance. Give econ ed Babb OR Neotastay Shipment

on foreign language competence, if cequiced for current position. Aumplily oc eepluia ratings yiven in Sersson DB to provide best
eof mancyerial of supereitors dut Pcuste wn CIA Use Se

basis for determining future: personnel action, Manner ol perfor
in the use of personnel, space, oq ommentod on, if applicable. Ht ne iy needed tojcnmple re
Section C, attuch v sepurute sheet o — Tt 77’ ] 6 KF Hy 6

Mr. Makuymice isa valuable member ot the EDLB and serves au ite gentior Inb

technician, He works closely with other members of the stafr “and contributes wto. the
success of the laboratory. Bape spy

His duties require him.to maintain and develop miny skille in the field of
photorraphics. He carries out these duties and other responsibilities ina
professional munner and with a minimum of super vision,

AS senior Luboratory technician lic provides guidance for his junior technician,
His ability to train this” man dn the field of photographic technology 1s considered
superior, , :

Mr, MaksymLec recently completed a revicw course in “Basie Grammar," This course
pointed out his ‘main difticulties in written expression, and hic, tescher sugeeuted
methods tor overcoming these difficulties, As a result of this course and after o
consultation with Mr. R. B, Cheatham of the Educational und Psychologies] Service
Bureau, Gcorzebown University, Me, Mokcymice plans on taking a speciol English
course at, Montgomery Junior College tte fall, This cours concentrates on the
fundamental of reading and writing, When he successfully completed: ‘this English
course, he expects to continue’ his education with the ultimate voul of receiving his
Bachelor's deyrec, Mr, Maksymiec 1s ambitious and hopes to train himself for o more
responsible position. He is to be commended for this erfort, and he will be given
all possible aid within, the laboratory to help him fulfil hie educational program.

SECTION D ae CERTIFICATION AND COMMENTS a __

BY EMPLOYEE

1 HAVE SEEN SECTIONS A, | 6, AND Cc “OF THIS, "REPORT _

OAte. ‘[s GNATURE OF EMPLOTLE | _
3Oce LE | Liege ort LA A

2. : - BY Se SUF ERVEOR 7
MONTHS EMPLOVE ER AS TREN “Te WHS REPORT HAS NOT OREN SHOWN TO EMPLOYEE, OIVE "EXPLANATA ”
UNOBA MY SUPERVISION ap QNDE IN
| : we ahaa ney pronsa
sane hee “

see poe cee

OFFICIAL TIT se brsunaesin— ~~ Tipe} we BLED 2 de pune
ya
2 etka (tog Chier, Exploratory Development LA .
Labor ratory Branch 2

BY REVIEWING OFFICIAL _ ae Y, ce eee,

2 rar or REVIEWING 0 OFFI

I coneur in the above evaluation. Mr. “Makaymiec is doing @ fine job

in the Laboratory and at the some time is working hard to get ahead as

his. concentration on furthering his education illustrates.

( Wey }
Vi a
Oarve ~ ae Torrician 1 Tite OF REVIEWING © OFFICIAL ft Ia ae awe ay
| Deputy Assistant for Plans | (ow AK. wane
L October 1966 | and Development iQ) SBCHER Ss
0, SECRET Oo!

Neat

4.00000

- SECRET . mee

(Whan Filled tn}

UEMPLOTEE SCAIAL NUMBER

FITNESS REPORT ‘eu

SECTION A GENERAL
NAME (Laat) (Miutsto) hDATE
kuynnlec SQ Apr LOLy 4
a. OF PICIAL PS 1 rns © n oF FE ows oR OF ASSIONMENT a. Cue RENT Wear TON _ ~~

0. OF FICIAL Positign THELA

whe tl
1@, CHCA IAD TYPE OF REPO!

cee

INE TIAL

nd San ern i

_ - PROS
Oia. to-)
ly 1965 2 3 March 196
Ls

Parformonce ranges from wholly inadeauote to slightly leas than satisfactory. A rating in thie cofegory requirce
Positive ramadial action. The nature of the action could range from seunseling, to further training, ty plycing on
beabation, to roussignmont of te separation, Describe action taken or proposed in Sectlun C. :

Petlormonca moata ull roquicomonts. I le antively sutisfoctory ond is churoeterized nalthar by deficiency nar

ercatlence.
PaHlormance ix more than surichuctary, Destrod rasulrs ure being pratuced Inu profictent manner.

Peldrmanca Ie charactarizad by a-coytianal proficloncy.
Performance is x0 oxceptonal in ralation to requlremants of tha work and In compurlecn tothe verformonce of
ethero doing similar work a4 to warrant spacial racognition.

List up to sia cf tha most importunt apucific dutios perlyrmed during the tating porled. Insert rating lotior which beat describes the
ich amployae partorms EACH spocilie duty. Consider ONLY atfactiveness in porlormance of that duty. All employees
itloa MUST bo routed on their ability to supervise tinut

on their p

manner in wh
with suparsitery ¢

SPECIFIC DUTT 85.1 Aol sbs

mombe

enlor brs
photegrapnic processing, providin
aah

practic4s2 application of photoprephy,

SPECIFIC DUTY NO. 2 Carries out experlinestal Laboratory inves

the photexsraphic process, develops: techniques, construct

OEE

‘equipment.

sederric Gure Ho. “Ay senlor photomraphie techalelaw has she eo
ne of ele photoxraphic equipment and aids dn the selee
6. Helps in the procurement of photographie supplie

torvaphic laboratory practice y.

others in y.
operotion and maintenance,

SPECIFIC Dut? 49. 6 Tostruct

pbs gpecind
seteups, Prepares prints ror dinplay

SPECIFIC DUTY HO.3  PHotory
te

yulpnent and exper 4 LETTER
id report purposes,

SPECIFIC OUT HO. 4

)VERALL PERFORMANCE IN CURRENT POSITION

verything about the employes which influences his ollectiveness in his current position such as per-
i¢ dutios, productivity, conduct on job, cooperativanass, certinent personal traits on habits, and

tes ce tglenrs. Bused on your knowledge ct omployec’s overall perionmuncy during the earing paciod,:
5 ng box corresponding to the statement which mos! accurstaly reflects his level of perlarmance,

“RATING
LeTres

Take into occourt
formonea of seg
partic ylor limitars
place tho latter

21 APR BS

s

y
rPoRM "
45 QOSOL LTE CAEVIOUS EOITIONS,

SECRET

4-62

14-0000

SECRET

(Phew Petts au

SECTION C NARRATIVE Comat EN TH ELAR Leetpp yew . EE:

es demnartrated tncurrant position keeping in proper RAGS SY bs tele
timndations for teining,

Indicate signifleant stronyths of works
overall performance, 5S! gastio node for improvement of work paclormunce. Gly tec
2 competan: i raquired for Current po Amplify of eaplain cating s qivon in Sectlon I .to pee

mining future persunnet action, Manner of p' el menos fab aD pry vee ni nust ba dase

en foroign |
basis for d
opplicubte.

Mr, Maksyiniee con!
Wella [te senier
with the physical ¢
practical and some

hues fo sugpe
tory techni
and by

Me PRAM t P La work

celP oon various projecta why require wony

JMr. Maksyalec works very well with others, Sollows instructions williacdly, und
curries out hls responsibilities in 9 profuszional monner., He requires very little
supervision and completes his agsdennenbs quickly and competently,

Mr. Maksymilee his mude a conscientious effort to overcome his writine aefieloncy
and has wreatly diproved this nee ry skill since hie dast review, Although there
is still room tor improvement, Lh de felt that real progr has been mate and ,
improvement will continue dn the Sutece wlth culliclent practice,

Mr, Mekzymbee's dutdes require nim to provide jsiidance to the Laboratory!
Junior technician, Mis abliity to train bike man and to help him incrense fig.
photomraphie skills Ls conuidered above uverauc, Te ds fSclt that he is pressntly
doing the work of a hlher yrade, so it is recommended that Mr, Maksymice Le, promoted
to GS-09, ‘

___CERTIFICATION AND COMMENTS —
ft EMPLOYEE _

C) WAS WHEN TY THI HE FOWE HAS HOT DERM AHOWN TO HMPLOVEE, GIVE EXPLANATION
UNDIR MY SUPORVISION
31 , This reper for promotlon purposes,
DATE —~— TOP FICIAL TITLE GP LHVISOR

PEEL

_Richard

Chief, Explore
F~/F-G Liboratory #
BY REVIEWING OFFICIAL

ery Developmen
oh

3. ee

COMMENTS OF REVIEWING ¢ OFFICIAL

I coneur in the above evaluation,

,
. . } ,
f (
: ene 91 eee:
DATE oo Yorriciac TifLe OF Ae Viewing OFPIciAn [TVRKG 2 raluvae
Qf ii t | Deputy Aged . vou
}) { ay bh | Plans and Development Jolin A.

SECRET
ww


14-0000

Cole LL
(We em 4

Bo. of Sinden 3] Bata of Coursa

TRAWING REPORT . (20 Hours
. Orerminr avid! aval “metnation a i

Bay 1966

ficzo of Stedeaty

KSYMIEG ryroetent Ae Aw .
T*
SOEs NLC ML
Tale couros ig tuoght 2 hours a day for 2 wooks. A protest ia given to

feteveing the atufent'!a proficiency. Tae course de eceniuetadt throush lectumse,
examplen, and exercises; and tho evaluation fa based on a seriea of qaizzeas and a

fins], omalnation.

4; Hovomber 1961 | NPIC
— ee eee ae

Tie objoctives of tne course ere the review and application of bavic feremnar
principlen end fImdenontal punctantico rvles.

meter a “PETES OF INA

Atudent achlovammt 1a judged on the basia of caxpetance in. midergtanding and. .
syplying tho pejnciples and rules preawatad in the coursa objectives.

yer eteat ee tee ee

a ae ert eR LE An EN A ea IE

at & ee eo eR

mete:

Bectioa 1V

This trainea'e rating ls garked by on aatorisk,

fabject | i "Fear “Pair ~C Batisfuctory Lo TL _xeaiiant ;
Gramer ~ : ; _
—_ __ _no 6
Ponctuation : : :
oe 9 : 20

; _ |
EXCEWYERT — = Sicrour® knowledge of notarial | prsaeatat “ard iebove avaraga paurtormanca -

in meeting course goala,
BATISPACTORY- avernya lmowledga of material prosented ated adequate yerformence in
: wrgting coursed yoAls.
PATR~ = « ~ ~ borderline knowledges of material prucentea and limited performance in
msating course goals.
POOR~ ~« « » = inadequate Imoviedwa of material presented ead unsablefnactory perforaence

in moeting courna mals. : :
BOetlng Courre [ost ——

This review course in yrammar and ounctuation was too advanced
for Nr. Maksymiec. He nveds an elementary course on the English
fundamentals preferably on a tutorial basis before he can adequately
apply the rules of punctuation and prammar to his work.

eT

re an se ener

ca

In a personal conferance with Mr. Maksyriloc, tho instructor
analyzed his weaknesses in grammar and punctuation and suggested
ways in which he might improve his performance in these areas.

muints on neverae side [7

cna ats Gi
fo Dette

T BY haabern oF Chief tip

FOR THM DIRECTOR OF eATacar: i Mere ge® ae a ; Nt 14 JUL 1966

fel) Seg A

App Seed!

14.9000

IMPORTANT: if

10° TGOMERY JUN

ONC’ cp THE Bee

GRADE REPORT
[~ MAKSYNIEC MYRGSLAW A

4718 ASsuRy PL NW

FASHINGTON Fo

Tere

(2) weeks of WM receipt, the record will stand os it s

NY

"Sd

Grade of 'D" is generally not accepted
by colleges for transfer credit,

Incompleres must be completed L, the
. dete approved by the instructor in the

course, of the grade will be rocordad as
nee

Grade of “WP 1s recorded only when
@ course is officially dropped.

Courses dropped within first three
weeks of semester are not included in
o student's recard

A quality point avercge of 20 is re.
av-ted for qendvation Transfer students
Ore esfected to mamta an arroye
higherthan 2.0 to recene ceconmnen.
datian ro upper division of a coliese
or Unicerst,

SO BDINAOR

STUDENT ORIGINAL

a me ed

TECH REGS Ei 1T¢

© inaccuracy in this record 18 reported to the

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GRADE REPORT INFORMATION. .

1OR COLLE“=

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office of the Registror. within

Presented ‘ot the

time of your next regi i
atration. Crediyp
given only for grades of D or better, °

WILLIAM B. BEN:
REGISTRAR

- Superior. og 4.
+ Good 22.2... 4
- Average.....2. 2 ...2.22.2
- Poor but Pasung.. 0... ot
“Faure. oe... 0
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14.99000

GEORGETOWN UNIVERSITY
WASHINGTON. D.C. 20007

HOUCATIONAL AND PS¥CNOLOgIEA:

Ctavices wuReaU

August 24, 1966

‘ Name: Mr, Myroslaw A, Maksymiec

Mr. Myroslaw A. Miksymiec, age "9, came to this Burcau on August 1,
1966, in connection with the Veterans Administration's educational and
vocat ional counseling program for former servicomen. Mr, Maksymiee is
married, has two children,ages Five and eight, and is employed by a federal
governmental agency as a’ photographic research technician (G3 99/3). He
retired. From the United States Army in 1961 jn the grade of Master Sergeant

“after serving for over 20 years with primary duties as an intelligence

: photographer. His education includes Cight years of Formal schooling, a
‘high school completion equtvalence certificate, and additional courses with

the Graduate School, Department of Agriculture, and the United States Armed
Forces Institute, Mr. Maksymiece stated that he was interested in Further
education at the college Jevel in order to improve himself both personally
and Professionally in g field related to his present vocational activities.

In addition to several conferences with the undersigned; Mr, Maksymiec
was administered a battery of educational and vocational tests. This report
Contains the results. of these conferences and tests, the results of which
should not be interpreted either a8 conclusive or final. They should be
considered primarily as. indications of various psychological factors that
should be seriously considered by.Mr. Maksymiec in making decisions concer-:
ning his educational and vocational goals. 7

In order to determine Mr. Maksymiec's ficlds of vocation#l ‘interest
he was given the Kuder Vocational PreForence Record, When Compared to a.
representative Sroup of men in the nat ional population, Mr. Maksymiec in-
dicated that his interests are significantly Similar to persons who are
engaged in computational, scientific, and literary activities. Men who have -
interests similar to Mr. Maksymiec's are found in various eng ineerjng fields,
astronomy, scismology, “economics, psychology, and technical Publ ications
writing. These fields are closely allied to his present occupational endeavors,

On the Fducational Interest Inventory, a device that is beneficial
to an individual in discovering his interests in various fields of Study,
Mr. Maksymiec's responses indicated that his Study interests are very high
in physics; high in engineering, chemistry, earth science, and history and
political science; high average in communication, zoology, and mathematics;
and average in. psychology, The areas in which he showed low to average
interest were music, education, industrial arts, agriculture, botany,
sociology, literature, art, business administration, and economies, ;


14-0000

FAN eee eee

2

Name; Myreslaw 4A. Maksymiee

Mr. Maksymiee also took the Amy General Classification Test, Civilian
Fdition, to find out his overall level of mental ability. Wis score revealed
that he exceeds approximately 78 percent of adults in general mental capacity |
as measured by this instrument, A safer evaluation of his performance is
that he ts probably in the upper 25 pereent of adults regarding his global
intelligence. . . :

on the Michigan Vocabulary Profile Test, an instrument that attempts:
to measure a person's intellectual interests as well as the amount of infor-
_ mation he.has retained in various areas of knowledye, Mr. Maksymiee indicated,
“when compared with college freshmen, that he exceeds approximately 50 percent
in his knowledge of human relations, 69 pereent In government, and 67 percent
in the physical sciences. On the lower side, he dees as well or better than
24 ‘percent in his familiarity with commerce, 31 percent in mathematics, and
24 percent in fine arts,

. In order to find out Mr. Maksymiec's ability to handle English, a
ae _ basic’ necessity for one to perform well in college, he was given the |
Cooperative English Tests. when compared: to college freshmen, he showed that
he execeds from 52 percent to 78 percent in his understanding of vocabulary;
’ from 5 to l7 percent in-his ability to comprehend what he reads; from 2 to
ll percent in his speed of comprehension; and From 18 to 36 percent in his
overall ability to know and understand what he reads under timed conditions,
In his skill to express himself properly in English, he exceeds from 1 to :
& percent of college ‘freshmen. Whew reading and expression are combined .
into one score, it may be said that Mr. Maksymiec exceeds from 6 toe 12 per-
. cent of college Freshmen in his overall usage of English,
mo The results of .the above tests indicate that Mr. Maksymiec has made
the most of his learning opportunities both within and outside the military
service, Although he completed only eight years of school, he has acquired
a ‘considerable amount of knowledge by observation, reading, and personal
experience, In spite of his broad experiences and acquired knowledge, it will
be necessary, for him to improve his reading and writing skills in English,
however, before he begins college courses. Although he manifests a high
interest in engineering and scientific -Fields, he should probably not con-
Sider these fields as majors because of his deficiency in mathematics, It
, is believed the skills in English can be developed but it is doubtful if
_ the mathematical deficiencies can be overcome sufficiently to major in a
setentific area. It is probably advisable, therefore, for Mr. Maksymiec to
consider one of the social sciences as a college major. His background in
aa ". photography and military Subjects, combined with a college major in an ap-
propriate social science, would’ probably provide him with the necessary
qualifications to become a geographer or an intelligence analyfst in govern-

ment service,

It. is understood that Mr. Maksymice has enrolled in Montogomery Junior
College, Takoma Park, Maryland, for the 1966 fall semester and that he will
take a special English course concentrating on the fundarentals of reading


14.0000

-3-

Name; Myrosluw A, Maksymiec

and written expression, After he completes this instruction, he might con-
sider working for an associate of arts dcgree jn a social science at this
junior college with the ultimate goal of transferring later to a four-year
college to work toward a bachelor degree, —

I have appreciated knowing and talking with Mr. Maksymice and I trust
he will contact this Bureau if he requires further counseling assistance,
My best wishes go with this report in whatever plans Mr. Maksymiec makes |

concerning his future plans and goals.

4

° Richard B. Cheatham
Counseling Psychologist

t
t
H

RBC: jw
Enclosure

|
|
H


teeoo000

—— 7 S-E-C-R-£-1
_" (When filled in)

MEMORANDUM POR: Chief, Transaction: & Pecords Branch/GP

FROM; Chief, Extetnal Training B onch/kS/TR
SUBJECT; Completion of External Ti alning
Bri
This is to aavise you that MAKSYMILG, Myroslaw h, training
tequest#_R-15016 attended the following external training, program:

“ COURSE: Talor Photography » Monopack Color Printiag
‘ INSTITUTION: Us Department of Agriculture Graduate Echool

DATE:
GRADE: “oA
et 7 . ‘ ,

ina Oo

VG. i
7 \ AAG

Attachments:

={ Grade Report

— Certificate of Satsfactary/Successful Completion

Certificate of Completion Looe
Roster of Participants ' :
Tr aining Report by Institution

Training Report by Student

None

Other:

—

GROUP [-
Jeoxcluded from automatic
downgrading ona : ;
“eclassitcation :

S-E-C-R-E-T

GVhen tilled in) : :


14-0000

(When tled in)

, MEMORANDUM FOR: Chief, Transactions & Records Branch/OP
TROM; Chief, External Training 8.anch/RS/TR
. EUz BJLCT: Completion of External Training
: V Ayes
ae
This is to advise. you that__MAKSYMILC, Myroslaw A. training

equest #_R- 13239 attends d the following external training program:

COURSE = Li y_MonoPack Color
, LNSTITUTION: USDA Graduate School
DATE:- January 1965"

GRADE: ©. A.
FOR THE DIRECTOR OF TRAINING: ,

Attachments;

Grade Report ;

Certificate of Satisfactary/Successtui Completion
Certificate of Completion
Roster of Participants
Training Report by Institution
Training Report by Student .
None .
Other:


14-0000 , . . -

fs rawr:


14-0000

SECRET ben,
; (ve

CBhen Pilted Pel

FMPLOTEE SERIAL NUMBER

035685

“ FITNESS REPORT
GENERAL

net yy) nn? ~Fanientte) 2. bATE OF MIATH po aex “""laoekon 13, 90
MALS: A. io oM 08 | Tr

AEM STATION

AnsichmeEsT&

4%. OFFICIAL POIUTION TITLE

aithington, D.C.

_E Tech

SR ePr OF APPOL

LIFE OF “joo pam

TRuMnORANY ©

MMENT EMFLOVER

fective CD

net att are |
Femme tor}

1008 = 30 June)
NCE EVALUATION _ icine
Performance fanges from wholly Inudequute to slightly leas than sutis y: Aroting In this cotecory requires
poritive remedial action, The nutura af the action could ange from counseling, to further training, to Placing on
Probotlon, to roassignment of to sopuration, Deascelbe action token vf proposed In Section Cc.

t le entirely sativtoctery und Ia choractoriced nelthor by deficloncy aor

1, DATE REPOR? OVE IN OP.

31 July 1965

Performance moets all roquivementa. |
oxcellence, . ,
Performance ts more than sotlsfoctory. Doalrod results ore boing produced ino proficient manner,

S- Strong Performance is Characterized by axcoptianal proficiency,

O + Qyistanding Performance it s0 exceptional In ralution to requirements of tho woth ond In comparison to the partarmunca of
: athers doing similor work as 10 warrant? special recognition.

_. .. SPECIFIC DUTIES

Cist up ro sia of the most impartant spacific duties porformed during the rating period, Insert ruting latter which beat dencribos tho

manner in which ompluyeo performs EACH specific duty, Consider ONLY effectiveness in porformance of that duty. All employeos
fo mauiher uf employees supervised).

P + Proficient

with supervisory responsibilitias MUST be rored on thelr ability to suporviso Cindi
aPeciwic Gurr Vhotoyraphs special equipment and oxperimental laboratory Corre

qa

neb-ups, Preparce prints for dleplay and report purposes.

CAD fn ent

ipporting cqulpment,

LETTER

A

sPEcinic GuTT H2.%  Carricn oul cxperlinental laboratory Inve
the photographic proceas, develops techn Lana. yeuels
Prepares technical renantoe————

Teecwric OUrY HOT “Agents senior branch members on thelr pro,t
photozraphic procecsing,; providing azaiatance ant consultatlon on the practical
application of photegraphy. : . :

a. enrryine Oub WaTiNg|
Wy carrying out Carre

P

aPeciPic OTE NO. 4 Bhares reapons IbLll[ty for maintenance of photovraphie equipment,
earee for the laboratory's camera inventory, assists fu the malntenance of
other latoratory equipment. :

P

“Ra TING
OTTER

SPECIFIC DUTY NO.8 Thatructs others in photographic laboratory practles, camera
operation and maintenance. Serves as the laboratory's senior technielan,

sPecivic ouryno.® Ageiets in the selection of photograprie equipment and materials| MAving
for the latoratory. :

§

; OVERALL PERFORMANCE IN CURRENT POSITION _
TT ene renee eae omens see TING
TTER

ee RA
Toke Inte secount everything about the employee which Influences his offectivaness in hia current position such os por | Se
formance of specific dufies, productivity, conduct on job, cooparativenc ertinent personal traits of habir3, and
particulor liitatiogs of fulents. Based on your knowledge of employee's ovarst! performance during the roting period, a
place the lerter in the uating bos corresponding to the statement which most accurately rediects his level of parformance.

“21 JUN B65),

rows 45 onsorera eaevious ecirioms. . SECRET


14-0000

“SECRET

; : fAben Fillet tnd
SECTION CG , 2ok NARRATIVE COMMENTS

Indicate signiftcant strengths or wohnedees dermaneteateg.in currant position hesping in Proper perspactive their imlationship to
overall perform State suggestions made tor inp redymant Of work perlarmance, Give recommanstations for train Comment
position, Amptily on explain fatlngs given in Sertion Br Provide best

ato petlormonce of manugerlal or aupers wy _lutios must ba daseribed, if

. ‘ .
Me, Kaksymiee, SS serving, aa” the senior laboratory technician, sete @ fine
example for thone whose -responsdbv ll ties ape similar and for the FONNLCT profess tonils
Tor whom te provides photographic daboratory services As a photographer he POSE
tare comport {oual akidis; hin pihotovraphs of, equipment for report and briefing
PUrpones are exceptionally Wellecrafted, the finishing of Curpaccing quality, Hie
work in cares 1, thorough, polnstan ingly accurate, and profers torial, by all ctandards,

After tore than a year in hia present position, he feels more relaxed and
selfeansured, fle ‘asserty his views and ideas more competently and has become an

integral and important part of tnip Laboratory ':; operations, Mr, Mabeynice workg
exceptionally well: with others, ng tS responstvllity free f anh requires a ilnimum
Of direction, Most of his asedsru come as discretionary ordert, with complete
freedom to utdiize hig ‘own talents anid inclinations towardg the colution of his
solened problems, le continues to Improve his capabilities, snd ts presently enrolled
in a Department of Agriteul ture courze in the fundamentals of Photovraphic color

a

Procercing, at hin own request,

Mir, Mokeymtec's one mujer weakness les in the difficulty with which -he writes
reports, ‘ite ability to communicate Sdeas and r sults or Unvert: wotlons cle arly,
through written reports, ls a ne Heary attribute of Laborator Geanch mesg
Mr. Maken “use concentrate extra -cl'fort to improve his per formane
During the next reporting period, he W411 be given assintance to hai,
capabslitic:, _ tees

nig news

. En.abuss Ot where wpetasute on

. . capac at
SECTION D __ : ac EE RTICICATION AND COMMENTS
cates BY EMPLOYEE

“4 40d Cat connie senges,

DATK

WN TO EMPLOYEE, GIVE €xrUANATION >

-_ 22 ——— __

DATE. pententens ‘lore TITLE OF SUPERVISOR _

VC bene VVaS Cher, Exploratory Development
4 nboratory Brancn

3,

BY REVIEWING OFFICIAL

a,
COMMENTS OF REVIE BIG OFFICIAL

£ concur in the above
Will devote that effort nees

Wiluation. It ts felt that Mr. Maks
ry to overcome the noted weaxness,

re
OFFICIAL TITLE OF REVIEWING —. _ ' : [ _ i
Deputy Avsistant, . t AME AND 5 Gna TUNE

-PPlanc.anedD nt B04 { ;

ert, and a
edn tis revard.— .


14-0000

SECRET ; to

Chen Filded tn}

FITNESS REPORT

GENERAL \ naan ___
ya ON OF ont TD. Srabe (30307
“ MAKGYMIEC, MYROGLAW A, 30 Aprih i-7 4 IP
- a

O.OFF TCIAL POSITION TITLE
IMOLOG G

KUN} TYPE OF APPOINTMENT

| I

D.C.

]REaSsicnmen? TUPERVISOR

SPRAY (Speciiyd:

TE REPORTING PERIOU (Frente)

$1, CATE REPORT QUE In OF, .
31 July 196% June i863 - 80 June Loos
SECTION B PERFORMANCE EVALUATION 9 _
W + Weak Performance tunyos fram wholly inadequate to slightly fossa thon satistoctory. A rating in this cotegory requires
- positive romedial actlon.. The nature of the oction could range trom counseling, to further training, to placing on

probation, to roatsignment of to soporation, Describe action token or proposed In Section C.
emonts. It is entiroly satiafoctory and Is characterized neither by deficiency nor

A» Adeauote Porformance moots af! roquir
encellenco. —— ~ : : 2
Performoncea ie more then satisfactory, Dorired rosults ore boing produced In o proficient manner,

{P+ Proficient -
~$-"Strong

YO + Qutstanding

Porformanco is characterized by oxceptional proficiency.
Pacformance ia 50 exceptional in ralation to requirements of the work and in comparison te the performance of
others doing similar work os to worront spacial recognition.

~ SPECIFIC DUTIES. ——T

iod. Insert rating totter which best describes the
$3 in performance af that d

~ !
List up to stx of tho most Important spocilic dutios performed duriny the rating p
manner tn which-employeo parforms EACH specific duty. Consider ONLY effoctive:

with supervisory rasponsibilitios MUST be rated on their abil erving Ciadic uater of omplovees supervined.
opectpicoury No-! Photographs special equipment and exper tal Laboratory vevrer
sct-ups. Prepares prints tor display and report purposes, has the respensib-
“lity for maintaining a flle of negatives and prints. s
SPECIFIC OUTYNOQ2 oo ° ; RATING
Carries out experimental laboratory investigations relating to LETYR
the photographic process, devalops techniques, constructs equipment in support
or these Inveutigations, and prepares technical reports. P
SPECiFic DUTY PO, “TRA TING
Ansints senior tranch members on their projects, contributing LETTER
: P

primarily in the photographic srea. ;

SPECIFIC DUTY NO, 4

for the laboratory and maintains a suitable working inventery.

Asslsta in the selection of photogruphic equipment and materials

SPECIFIC GUTY NO. 8

Is responsible for maintenance of photogrsphic equipment, and
e@res for laboratory's camera inventory. Assists in the maintenance of
other leboratory equipment.

SPECIFIC DUTY NO. 6

a
Tako into account everything about the employee which influences his offectiven t
formance of specific duties, praductivity, conduct an je Cooperativenoss, pertinent personal traits or habits, and
erall performance during the rating period,

porticular limitatians of talonts. Bored on your knowledge of omployoe's ov:
place the letter in the rating box corresponding to the srorement which moat accurately reflacts his level of performance.
iS .

\

ey yong

SECRET

iv .
iar 4§  oosovers previous eotrions.

a


14-00000

SECRET

IT le Pitted tm)

SECTION C NARRATIVE COMMENTS GFF iE Lae.

Indleate significant Strengths or waaknosee3 demonstrated In currant position keeping In propor per spective NAN MP icnshis ta
overall performance, State suggestions made for Im: reverent of work porfarmonte, Give rocommendutions for training, Commant
on foreign lerguage compotenco, If required for cutrent positlen, Amptify or oxplain rating; given iH Section B to proeide best

basta for determining future personnel action. Manner of porformonce of monagerial or suzy ppt “epee must be dascribed, if
opplicable, . 20 Ay bu
Mr. Maksymice's beskground and exper tence lie in practical photogvatiy,
about which there te eatremely little he docs not know. Uppal tH sterred from
PSD/PLB primar liy vec there was little opportunity to use Himexperienee,
‘and because the advancement potential appeared to be minimal. .

From the day of his transfer, Mr. Muksyintec has performed capably. Much
or the work has been new to him, requiring him to learn and muster many
aspects of theoretical phetegruphy. He hus acquired proficiency in the use
of laboratory measuring instruments. He has applied himeclf£ and learns
rapidly, with good re ion. His frome of mind has improved, and this is .
manifested in amore relaxed, yet completely involved approach to his work.
He works well with other and ccoperates fully in 011 grcup problems. He
accepts responsibility and requires direction of effort only in those
theoretical areas where he has no experience. When responsible for the
expenditure of funds, he exhibits a commendable cost-conecilousness,

He recently took ninations for the purposes of completing his High
' School education, and hes attended mathemetics classes at Fort Myer. This
is an additional indlesztica of the interest and feeling for his job, which 7 ‘
is manifested by a conztetently proficient level of output. de Is a valued
member of the Exploratery Development Laboratory Steff. .

SECTION D CERTIFICATION AND COMMENTS _ .
. ‘BY EMPLOYEE ee
1 CERTIFY TH THAT! HAVE SEEN SECTIONS A, AND C OF THIS REPORT
‘foarte SIGMA, ipne OF EMPLOYEE 7
J? Beme [HOO IAA be __
2. : ae BY SUPERVISOR . _
MONTHS EMPLOYEE HAS DEEN 1? THIS REPORT HAS NOT DEEN SHOWN TO EMPLOYEE, OIVE EXPLANATION
UNGER MY SUPERVISION
10
DATE OPPICIAL TITLE OF SUPERVISOR T¥PEp OW PRINTED MAME AD, aparins
Chief, Exploratory Developmen ELLE -
15 June oC nberateory Brace PDS ‘DD OF we
BY REVIEWING OFFICIAL ‘ U

3. : -
COMMENTS OF REVIEWING OFFICIAL .

ve

: oc
_— ——--—- ——--_ —- —__—-. —— — k -—. atl,
DATE OFFICIAL TITLE OF REVIEWING OF TITIAL [71PE0 OR PRINTED NAME 1

CHA

 oleme 6Y

ent for Pluns & Doveloumgnt ZCUN W, CAT?

SECRET

Aselete


14-0000

;
SECRET ‘ Horr.

(then Filled tn) fo

EMPLOYEE SHMCY NUMBER

FITNESS REPORT

033655

GENERAL _

(Laat) (Firat)
MARSYMIEC, Mrroslaw A.

G iatTH I

[2 cate Or pin TH]. SEX

LM

T NAME

6. OF FICIAL POSITION TITLE

___F Ger

2. CHECK IX) TYPE OF APPOINTMENT

SD/PLB | Wah

[10. CuECH (XP TYPE OF REPORT

ree

Jeanese [ [reserve | ~ Pas __f -
X [CAREER-PROVISIONAL (See Inatructiona - Section C) Xp ANNUAL [Re
SPECIAL (Specily): ee f smeciat (Spocily):
11, DATE REPORT OVE IN O.P, ; . [12 REPORTING PERIOD (Fran: for)
3b-July 1963 = | Ausust 1962 - June 196
mance ranges from wholly inedequat ightly less than sotisfactory, A rating in this category requires
temedial action., The noture of the action could range from counseling, to further training, to glocing on
probotion, to reassignment of to seporation. Describe action taken or proposad In Soction C. - .
A- Adequote Performance meets al! requirements. It is entirely satisfactory und is characterized neither by deficiency nor
. oxcollence. ” -
P- Proficient Performance is more thon satisfactory. Desired results are belng produced in a. rofictent manner,
3 + Strong Performance 13 characterized by oxcoptionol proficiency, - a . .
O- Quistanding Performonce is so oxceptional in relotion ro requirements of the work and la-comparison to the performance of
others doing similar work os 19 worront special rezognition, “at
SN — SPECIFIC DUTIES _— ~ __, :
List up to six of tho most impostonr specific duties parformed during the rating poriod. insert rating lotter which best describes the
manner in which employeo pectarms EACH specific duty. Consider ONLY effectiveness In portformance of thot duty. All employees
with supervisory responsibilitias MUST be rated on thoir ability to Supervise (indicate number of employees euperrised).
SPECIFIC DUTY No. t ~~ TRATING
. | verre
Operates specially designed contact printers, and expose negatives, positives, 7
and prints. . | P-
{
a SPECIFIC DUTY NO. 2 ~ ~ | RATING
ee . os . _ | CeTtER
Operate continuous procereing equipment and develop negatives, positives and |
prints. :: : i A
SPECIFIC OUTY NO. 9 — 7“ a 7 RATING
: ; LETTER .
Operate specially designed projection printers and expose enlaryed negatives i
positives and pris. i oA
i
SPECIFIC Dury No. 4 1 Carts
Develop negatives, positives and prints by manual processing methods. i
GE | Po
os. ~ ee ; RATING
SPECIFIC oury no s RATING
1
ot L |
SPECIFIC OUTY NO. ; RATING
: 1p METTER
-_ OVERALL PERFORMANCE IN CURRENT POSITION
. H . : | RATING
Toke Into account everything about the employee which Influonces his offectiveness in his cusrent position such as pers} SETTER
formance of ‘specific duties, productivity, conduct on jee cooperativeress, pertinent personal traits or habits, and {
particular limitations of tate Based on your knowledge of employee's overall performance during the rating petiod,? A
place the letter in the raring: ‘corresponding to the stotement which most cccurataly reflects his level of parformance.| *
. \ !
21 Aug 1963 = :
- — - teed Ham tyne
TSI" 48 ossoviere/deevious editions. SECRET : ‘sites!
i °
* a“


14-0000

ecane.
SECRo

(Bhen Felled ta)

NARRATIVE COMMENTS 48;

, :_ TP
poasltlon koeping in proper persfecttre thelr ralationship to
performance. Give racommendarions for.wajning. Comment
alvan In Section D th ¥wovide beat

SECTION C.
Indicate significant strengths of weaknsases demonstrated in currant
overall performance, State sugge @ for improvamant of work

on tereign longuage competence, if ranuired for current position, Amplify of oxploin rotigys .
basis fw determining future personnel oction, Manner of porformance of managerial or sliligefapey duties must be dostribod, it

Spplicable, :

‘The quality and quantity of Me. Makeyntec's work are Maroy ine. Uddever,
it muzt be stated that, degpite the fact that Mr. Makeyniec Ls Any happy

in thie assignment he ig making an effeart to improve hie perfornnnce. . .
y effort is being made to Iccate a position within NIC or elsewhere
2 in keeping the Me. Makcymiec's evaluation of hic own abilities and

\
1

mF

r4perience,.

SECTION D CERTIFICATION AND COMMENTS
gi CEMPLOYEE — ee
| of o A ‘% I CERTIFY THAT | HAVE SEEri SECTIONS A, 8, AND © OF THIS REPORT :

SIOMATURE OF EMPLOvVER ~~ 7. a :
: | Lifer; F_ - Melba, OE

BY SUPERVISOR
1f THIS MEPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
uw .

1,

oa
2. “Y .
MONTHS EUPLOYEE HAS BEEN
UNGER er SUPERVISION

23 sonths

TYPED GR/PRINTED NAME ANO SIONATURG
u a. TFlucu -

Photographer(Cer)PLB/PSD MELVIS C. MUIR
BY REVIEWING OFFICIAL

TOP PFICIAL TITLE OF SUPERVISOR

COMvEnTS OF REVIEWING OFFICiaL

I ax in accord with Mr. Muir's comments. ‘Scme improvement has veen shown
ty Me. Makeymtec.

OFFICIAL TITLE OF REVIEWING OFFICIAL TYPED/OR PRINTED N*#&ME AND SIGNATURE
. / va ~ | D¢/Photo Lab Branch, PSD/NPIC| SAMES L. ALLEN
SECRET ;


14-0000

SECRET

(Then Bitlet Ta

FITNESS REPORT

SECTION A : : GENERAL ee

Name . " (Firat) (Muddled 2. DATE OF MINT 135. 5€R |

URRENT STATION

vnten, DC,

rea: ISIGNMENT SUPERVISON

. & [Caneeaproyisionac, {Soo Instructions = Sectice o. in as TONMENT. EMPLOYaR

seRciad (Specttyir

1), GATE REPORT. DUB IN O.P,

: 62
“PERFORMANCE “EVALUATION — ee

[SECTION 5

, Ws Weok Porlormonce ron; Jos from wholly Incdequete te slightly leas than sotistoctary, A rating In thie category requires
5 positive romodtal action. The nature of the action could tange trom counseting, to further troining, 10 placing on
probation, to reasalgnment of to seporation, Deseribe action taken or proposed In Sectlon C. -
“Performance meets olf requirements. It is entirely setinfactory and ts choroetorized nolther by “dotictoncy nor

xeollence,
Porformonce }3 more thon satisfactory. Desired results are being produced in a proficient manner,

; A+ Adeavate
!

Porlormance is characterized by oxcoptional proflcloncy, .
Porformonce is t0 excoptional in relation to requirements of the work k and in compasheon to the garformanco of
others doing simitor work as to wurrant special recognition.

Fic DUTIES

Liat up to six of the most important apecific duties performed during the rating period. Insert rating letter which best describes the
inannor in which omployoo porfarms EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
pith ‘supervisery ronponsibilitias MUST be rated on their ability to supervis tindicate number of amployoes muporvtaod),

SPECIFIC ‘BUTY NO?

Operate continuous and manual, contact printers.

A
H
i
4

SPRCIFIC OUTY NO. 2
Operate continuous processing equipment and prepare negatives, positives
and prints.

it
P

Prepare negatives, positives and printa by manual processing methodo,

SRPECIPIC DUTY "NO, 4

Operate specially designed projection printers and prepare enlarged negatives
positives and prints. : :

|
H

J2PECIFIC DUTY NO. 3

r
i

RATING
LETTER

‘SPECIFIC DUTY NO. 0

i
i
i

: ___OVERALL PERFORMANCE IN CURRENT POSITION

Tae etn nee nae ne aan nT ee = ~~" RAT INo
Lirrer

Tone Into account averything abour the employee which influences his ellactivenass in his Current position such a6 per:
» tormonce of specific Iuties, productivity, comfuct on job, cooperctivenass, pertinent personal traits of habits, and A
-rarticulo: imitations o¢ talents. Based an your tnowledge of employ overall peslormonce dusting the rating poriod,

‘aiace tho letter in the rating boa corresponding to the statement which moat accurately reflects his level of performance.

a
oor" 45 casovera pamvious colTtons. i ren
.


14-0000

SEChET

ffhan Fabled tn) t

SECTION CG: . ; : NARHATIVE COMMENTS
- a ee rn ete
Indicate oot steangihs af weakne t demonstrated in currant position heaepi In prepar parivactive: ‘their telotionship to

overall pay 2. ‘Wate suggestions mado for impeasa~ant af work parlormance, ive tacommandoations far teuining! ‘Cammont
on feraiqn mpetanca, if raquitod bor current paseo, Amplify of aeplains atings qiven in Saction B to provide best
basis for determining future versonnel action, fanner of perform y § managerial or teres sogy dutias must bo daacribad, if

- opplicotts, ‘LE 12

ins

The voluse of work produced by Mr. Muksymtee has been wicquate; the quality of
Work prifuce: nae teen good but there in need for further Laprovemeat. However,
Mr. Mareyniec ig making every effort to Improve the quality of his work. He
is cooperztive and gets along well witt his fellow employees.

SECTION D CERTIFICATION AND COMMENTS

an

i, ; ‘ /_ BY “EMPLOYEE cee ee ang eo oe
SEEM ct CHONS A, 8, AND C OF THIS REPORT
ox ie, ~ N FP eMrLes pe i
iliewy pore! getwintlny F G Lbtasbowys xe
2. BY SUPERVISOR

MOWTHY RUPLI EE -eB CeGN NU MEEN SHOWN TO EMPLOVER, DIVE EXPLANATION

UNDKI Mf Suk ES ptt

COMMENTS OF S€7:€einc cFFician f

T am in accordance with the tobepotng comments on Mr. Maksymiec's performance.

CUAL TITLE.

SesiReing OF FCIAL [TePED OP PRINTEO NAME anD SIGNATURE
heer 2,

"JAMES L.

‘DC/Fhoto Lab Branch, PSD/NPIC }
mo, | SECRET


14-2000

~~ . SECRET

. TAR
when filled nd ~ . TAB OM

IP CAREER SERVICE BOARD

A. RECOMMENDATION FOR PROMOTION . Ail L9G

PAESENT GHAUF

of

Gga0

D and E Teehnieian, Slot OG4%, 6-00

\
\
PROMOTE TO - COMPONENT ASSIGNMENT LOIVISION, BMANCH, SECTION? 4
ssp NPIC/P&ps /EDLB .
: . ¥ s TIME IM PRESENT ‘
;  [eeweintearer [eco wesc wearer TNs ganar Pivivioe WSF
. O7 Nev 1l0oGL | 2% Nov 161 20 31 :
: 7 ‘ EDUCATION . . i
sas . F
wy School cquivalent certificates completed a course du color photozraphy in - . tf
ary 1966 (G eredit how's) taken at the Deprrtment of Agriculture: Graduate . \
hool. ; 1
— |
EXPERIENCE ‘
i

symtee retired asin Me
wphie oxporiance,

aster Servonnt in duly 196) after @0 years of Army oa
He has been with the Canter frun Nevember 19601 and with :
: the Exploratory Development Takeratory Branch of Lue Plans and Development Starr : :
since 15 September 1963, He is the senior technician ror the laboratory:

JUSTIFICATION

yndec's Laboratory skills are of the highest professtonal quality. His
a the sendor laboratery technician require him to work closely with the
Physical selenti and by himself on various projects which require miny
tactical snd some theoretical skills, We ceniuets experimental iaboratory
investisations related to the photographic process, velops special techniques,
and construets supporting equipment, He carries out his ass ents With Little
or no supervision and works well with others dn the laberatory He Ts oan \
impertant and valued member of the Exploratory Development Laboratory Branch, It | :
is felt that Mr, Maksymies is doing the work of a higher pradey theretore, it is
recomended that Mr, Maksyrice be premoted to arade Go-09, ,

Le

IP FOR MO? 6S

SECRET eanye Brcuupto raoM ay toma’ COON GAAONG


14-0000

SIDS Arl Paw sh
BL eeRe 19IG

AGENCY CERIFICATION OF 7° \INSURANCE STATUS
( }

US ON TE COU ae .
Pa mba) As Bb Faderal Employees Group Life Insurance Program
1. DeAsed {Lerstp (haat) (Mabie; 4a). OATE OF Brett (Moo, Uap, Poms Ab} SOCAL SECUMTY ACCOUNT NUMBEa

LKETIAUEC, Myreonlaw A,
J. CHES THE PEAS GR ThasaindalinG INSURANCE

30 April 1917

{o) {7} Separated (utstos reveyrrtems) .

(Of B Perens at ttre» HIGTE AE tho renton chechod ty “h, Ratired” your proup life insuronce (but

fer i» Get as on erginyse tet nerdontal death ond damembermant beng!ity} will continuo during retire

(9) fs Leet on 3 temenpiryed urruitond . on 1 meet ihe conditivms dosenbed in “Nubco to Retiring tmployoe”
ye, :

(9) Cj bd 08 02 ccemua ram peng stats
{NL} Gtteoe fugacity)

4, OU SOE EA UAT Gs 4, UEGNALION OF BENEEICS S
24 iy - A CURRENT SF $415 ON FUE OM

; ; . A Cyernt oh
fo. ee eno teh ab Nor Ges tue ain tons to. THE LMPLOVEE'S OFFICIAL PERSONNEL
Pra £ AGL Te RIOR EQUIVALEN

LOH AMETION UNDED CONDITIONS FHTTENG HIM 10 RETAIN MIS HIE INSUYANCE, ATTACH
TAL AND ALL COMES OF SP 24, HE HD CUFPEME SE $415 ON TILE, CECE BOK-4 (ty) IN AML

WOU Lal 8; Aly ee EEOIRG OF RECEIVING FEDF7ar fe,"
.
SW, EK A (b} OR fe). A CURHENT 5H 54 15 ONL EAT HAY NOT BEEN CARCELD BY EMPLOTEE

ty,
Gin (47 FA AT ALY BD ta
CARTMAN ENTIRETY We!

nt
"70 WRMINATION OF INSUTACE

“AP TE CID SNOT HRM OPIN, MGUPANET ON CANE P@ DAN OF NONE CP TATA
a ete NO | Kars [| RIGE (SF S3p TO PMNUTE
0S, Gtel PUGET DAH OF LUC TON OF OPTIONAL (MONTH, OAT, Than).

HT PANOE OE TIS oF 1/6 TF .

S. Gat ts Peat iste aw Le TP ype tent TAE BALL NUT D7
Yan“, LOS, Mey, RHONDA TEES COW ST RE
wueharar, BC BAIL IQ ARYA,

30 July 1973 124.2150 ne neon

es onan ee
OD. ICEHE ET tral PME BM yeh TIS ATION HAS BUEN O8fAinES 134517, ali COBFLCILY REFLECTS, OHICIAL RECORDS AND THAT. THE EMPLOYEE
MAALD TAS CLITEPEY BE UELEYAL DAPLOTEES GROUP ture TO AS SE Gl THE DATE SHOW? IH HUA 5S.

Fezrrm ated Uridinss of ogene y,sechting np .ode
Central Intelligence Agency
Washington, D, C. 20505

Fartet wipater A acral wpees Siu
- ,

me Ls,
Sy ped nora ol aatoraet wpery Ud
Francie G, Monan

Pragta magnesia, including aoa tad

Oure

47 AUG 197)

Insurance Cflicer, Alternate

SEE OTHER SIDE

FDR
INSTRUCTIONS TO EsAPLOYING AGENCY

Pagal J— itd COPY


14-0000

a - ne

~ 7 CF ‘Pr -

; — Enecvien, CeCaneh, oa ROVLIVER - SAPOATANT

’ OF LIFE INSURANCE COVERAGE ‘ AGENCY INSTRUCTIONS
ON BACK OF ORIGINAL

FEDERAL EMPLOYEES GROUP Life INSURANCE PROGRAM

TO COMPLETE THIS FORM—

FOLLOW THESE GENERAL INSTRUCTIONS: .
] * Read the back of the “Duplicate” carefully before you fill in the form.
* Fill in GOTH COPIES of the form, Type or use ink. .
¢ Donot detach any part. :

FILL IN THE IDENTIFYING INFORMATION BELOW (please print or type):
2 HAME (last) SSG ID iy do) - t DATE OF BIRTH (month, day, year) | SOCIAL SECURITY NUMBER
JUS yrqiet_Mynoleane Amoren apris Bo G00 OCF (6 F202?
| TMPLOVING DEPARTMENT OR AGENCY | LOCATION (Guy, State, ZIP Coda)

| |

=
|

| .
nent |
; |
|

1

MARK AN "X" IN ONE OF THE BOXES BELOW (do NOT mark more than one):

Murk here ELECTION OF OPTIONAL (IN ADDITION TO REGULAR) INSURAHCE

if you ‘Jetset the $10,000 additional optional insuranca and authorize the required deductions
“WANT BOTH [| from my salary, compensation, of annuity to pay the full cost of tha optional insurance.

optional and This optional insurance is in addition to my regular snsurance.

regular tA)

insurance

Mark here DECLINATION OF OPTIGNAL (BUT NOT REGULAR) INSURANCE

if you + 1 decline the $10,609 additional optional insurance. J understand that | cannot elect op-

DO NOT WANT ] tional insurance until al least | year after the effective date of this declination and unless
evidence

al the time | apply for it 1 am under axe £9 and present salictactory medical

OPTIONAL but
do want | of insurability, | understand also that my regular inburance 13 not affected by this dectina-
regular. . (B) tion of additional optional insurance. ° :
insurancd—- . :
H

WAIVER OF LIFE INSURANCE COVERAGE

Mark here — : .
if you J desire not to ba insured and | waive coverage under tha Federal Employces Group Life
Insurance Program. | understand that I cannat Tancel this waiver and obtain regular in-

WANT NEITHER |
regular nor surance until at least 1 year after the effective: date of this waiver and tniess at the time
optional 1 apply for insurance | am under aye £9 and present satisfactory medical evidence of in-
haere CC) surability. 1 understand also that t cannot now or later have tha $10,000 additionat
insurance optional insurance unless | have the regular instrance.

G OFFICE USE ONLY

SIGN AND DATE, IF YOU MARKED BOX “A” OR “C”, |
4 COMPLETE THE "STATISTICAL STUB." THEN RETURN |
THE ENTIRE FORM TO YOUR EMPLOYING OFFICE.

i SIGNATURE (do, not print)

FOR EMPLOYIN

to ial ‘yeceiving date stamp)

Wiyualai. 0. Gitoday neesbe_|
ATE 4

7 See Tatle cf Effective Dates an back of Original

STARDAPD FORM Ha. 176-1

ORIGINAL COPY—Retain in Official Personnel Folder . :
SECRET ho sfor vse obiy wit! ABil 14, 1968)
- 7


1400000 +

(a.

oar

aN

LOGS ihe

i
'
H
i.
1
t


14-0000

~~ OFFICIAL USE ONLY | «=.

4

NATIONAL PROTOGRAPHIC INTERPRETATION CENTER

18 February 1963

To: Myroslaw Maksymiee

The President of tke United States hag formally recognized
the vital contribution of the members of thig organization,
during the critical period last year, by awarding a Presideén-
tial commendation to the National Photographic Interpretation
Center. :

A copy of the commendation which is attached will be made
part of your official personnel Slle, and a certificate of
commendation is being presented to you for your retention;

Once again let me add my expression of appreciation for
your efforts which enabled all of us to merit this achievement.

Cee ada

ARTHUR C. LUNDAHL
‘Director

Acknowledged:

OFFICIAL USE ONLY


14-0000

a! rs
FOR Orr tulAL USE ONLY 1

The Presiden? of the United States takes pleasure in commending
the NATIONAL PHOTOGRAPHIC INTERPRETATION CENTER for
outstanding achievement and service to the security of the United |
States and the Free World during a time of grave international crisis.

‘ CITATION:

i "The National Photographic ‘Interpretation Center distinguished —
itself by exceptionally meritorious service during the period
! from 1! May 1962 through 31 December 1962. During the period
; of international crisis, the Center served as the focal point for
+ _ the receipt and immediate analysis of intelligence photography
doe "and was instrumental in identifying the nature and magnitude of
i the threat to world peace. Although wor king -under great
i stress, personnel of the Center were able to carefully analyze
i and process a massive volume of critical intelligence material,
: thereby enabling the United States to respond immediately and
; effectively tothe developing threat. The outstanding
i : achicvement of the members of the National Photographic
i . Interpretation Center is in keeping with the finest traditions of
: service to the United States,"

1 ; All Armed Forces personne! assigned or attached to the Center and
. performing duty at any time during this period are hereby authorized to
! : wear the emblem or ribbon for the following decoration, as appropriate

to their service: . . oG

‘ Army - Meritorious Unit Commendation :
Navy - Navy Unit Commendation. :
Air Force - Air Force Outstanding Unit Award

AH members of the Center will be presented an appropriate
certificate in recognition of their outstanding achievement and will
this commendation made a matter of record in their official files,

THE WHITE HOUSE,

9 January 1963 :

FOR OFFICIAL USE ONLY


1400000

. Acknowledged;

SECRET

NATIONAL PHOTOGRAPHIC INTERPRETATION CENTER

19 November 1962

TO: Myroslaw Maksymiec

. Several weeks ago, 1t was my pleasure to pass on
to you a letter of commendation from the Director of
Central Intelligence.. Now, the President of the United
Stutes has cent the attached letter of appreciation and
commendation to the Center, which will be mide Part of ©

. your official personnel file. Again, I want to commend

you for your vital contribution to the Center's uchieve-
Ment, and express my appreciation for your sustained

efforts. -

ARTHUR C. LUNDAHL
, Director

Lopusce

. a
1 KCCe

SECRET


14-00000

Sn SECRET

\ : ; THE WHITE HOUSE

\ WASHINGTON

November 8, 1962

Dear Mr. Lundahl:

- ; to While I would like to make public the truly
i : outstanding accomplishments of the National

' : a Photographic Interpretation Center, I realize
that the anonymity of an organization of your
high professional competence in the intelligence
field must be maintained.

1 : I do want you and your people to know of my
Do very deep appreciation for the tremendous task
: : you are perrorning under most trying circun- |
| ft stances. The analysis and interpretation of the
! : Cuban photography and the reporting of your
‘ findings promptly and succinctly to me and to
my principal policy advisers, most particularly
the Secretary of State and the Secretary of
. Defense, has been exemplary.

You have my thanks and the thanks of your
- government for a very remarkable performance of
duty and my personal commendation goes to all of

you.

Sincerely, .
Mr. Arthur C, Lundahl , ne -
Director

Wational Photographic Interpretation Center

SECRET | | wots


14-0000

‘

NATIONAL PHOTOGRAPHIC INTEMPRETATION CHITES

G November 107
To: Myrondaw Maruymiec

I have arte

cd for your personal acknowled:
Conmendation fron the Dlreetur of Central Intell
Wileh will be sade a part of vr orrtelal personr.
file.” You contrifured tn & very real wav to the «
for which HPIC ts being ecer ed and Towant to ard St aa
doby the Director.

confratulatians ww those eyprce

Sireetor

Acknowled, ed:

Lchpeceey

-

SECRET


14-0000

~ om SECRET =

CENTRAL INTELLIGENCE AGENCY

WASHINGTON 23.0. ¢. . be

OFFICE OF THE OIRECTOR

2 November 1962

MEMORANDUM FOR: Director, National Photograshig .
~ Interpretation Center :

SUBJECT , : Commondation

1, As Director of Central Intelligence and on dehalf of the
entire intelligence ewramunity as well as the United Sistes Govern. —~
ment, I wish to commend you and the personnel under your cornmand
for the outstanding werk you have been Performing, especially during

the past four months uf the Cuban buildup, |

2. Your analysis and intorpretatian.ot-eho-Gavan pnotography
and the manner in which-yew-repotted your findings to the President,
tus principal policy advisors, ‘Most particularly the Secretary of —

a : State and the Secretary of Defense, and the entire intelligence com.

munity have been of the highest order,

i 3. Ihave fuil knowledge of the tremendous preszures and long

E working hours with which NPIC waa confronted, 1 regret that the

! anonymity required of a professional intelligence agency such as yours
' Prevents public acknowledgment of NPIC accomplishments. You and

: your people should take great pride in your accomplishtnents as well
Po as in your ability to perform them without public acclaim,

Director

SECRET


14-D0000°

. . - S n-C-Re =? . ~ i
- (“sen Filled In) a cat

ALZ PE: ore “EOUBL APPLICART TESTING REPCRY

\

DATZ: 16 Novenber 1961

agg 0 rr eons memes sey ASSTOREE ——
MAKSYMIPC, Myroalavw Ar bneres PIC Photographer 4

BATE AND PLACS TasTeD : 7 RECRUITER ©
i Caprlottd /

_ 7 Movember" 1961, » aohtnrtvon, D.C.

ee ee ee a,

information that may we helpful in arriving
Tue cots vente are necensay ily tentative
D DISCUSLION OF
SO MAY RS

. 1. This report pre
at oelentlon/placasent.¢
and in teria Of general ast
AGiS INFORMATION IN TERMS oF : BCTFIC cONTEAPLATED ASSIGIR
ARRANGED BY CALLING 7%

2. &8 Comasenta: Mr. Maksymiec performn powrly on various measures --
of intellectual ability. (Ze evidently has a forelen language back~ 5

SSS Sou WTEC oyacnnieees sted—h4.a_porloumance particular on_th :
: verbal tests.) . His ielege oe ae “contenperary” “Ubtlansteate Se

“po s+ an average rating in ewmerison with Agency profenutonal personn@%.—ne-—___
: aldo pertorms fairly vell on a test of arithmetic problems. He would ae

appear beat sulted for as eecentially technictan level position, whieh
presimably the proposes "PRotorrnpher" pouition would be.

3+ PORRIGN LANGUAGE £PTTZ

pa

wtbes
ae
3-H-C-2- BeT Se
(“hen Filled In) a .


14-0000

CONFIDENTIAL _
(when filled in)

ACKNOWLEDGEMENT

poo : T hereby acknowledge that I have read and understand the contents

: "of Handbook 20-4, Employce Conduct, dated 29 August 1961,
i . . an .

1 Lwllivtpene | 2 Cog) (O67

oo: _ e Te Date —~
‘ : . . : :

CONFIDENTIAL


14-0000

SIASUAHD FOKM of
Btelin UNE int t

APPOINTMENT AFFIDAVITS ©

Foe cuartin at
IMPORTANT.-- Before swearing to these appointment affidavits, you should read and understand
the attached information for appointee ; Ma

_ (Dhaka oe diatom rien

» do solemnly swear (or aificm) that—

x? UA. OATH OF OFFICE . a
: T will support and defend the Constitution of the United States against all enemies, foreign and
domestic; that I will bear true faith and allegiance to the same: that I take this obligation freely
without any niental reservation or Purpose of evasion; that I will well and aithfully discharge the
duties of the office on which [am about to enter, SO HELP ME GOD.

B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY ANO AFFILIATION / ;

, T am not a Communist or Fascist.. I do not advocate nor am I knowingly a member of any
organization that advocates the overthrow of the constitutional form of the Government of the
United States, or which -secks by foree or violence to deny other persons their rights under the
Constitution of the United States. I do further swear (or affirm) that I wilt Not so advocate,
nor will I-knowingly become a member of such organization during the period that I am an em-
ployee of: the:Federal Government or any agency thereof, - :

€. AFFIDAVIT.AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT

‘Tam not participating in any strike against-the- Government of the United States or any
agency thereof, and I will not so Participate. while an employee of the Government of the United
State3 or any agency thereof. I do not and will not assert the right to strike agairist the Govern.
rent of the United States or any agency thereof while an employce of the Government of the
United States or any agency thereof. I do further swear (or affirm). that I am not knowingly a
member of an organization of Government employees that asserts the right to strike against the
Government of the United States or any agency thercof and I will not, while an employee of the
Government of the United Statcs or any agency thereof, knowingly become a member of such-an

_ organization. _ us }
‘D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE wes

. I have not, nor has anyone acting in. my behalf, given, transferred, promised or paid any con-
__ sideration for or in expectation or hope, of receiving assistance in securing such appointment. Rp

E AFFIDAVIT AS" TO-DECLAKATION-or-sDDaINTEE

Te answers Given in the Declaration of Appointee ‘on the FeVErse Of -thie-form_ ore trie and

L2G:

‘heete of entance on duty)

De : wo

han,
(State)

o Obs

{saz} (Siganture of offen)

tte) . 7
$, 08 by a person desitnazed to
Act of Jung 26, 1943, 5 U.S.C. 6a. bya Notary Public. the date of

NOTE.—The oath of office must be administered by a person specified in S$ U.S.C. 4
administer oaths under Section 206,
eapiration af his contmission ahould be shown.


DECLARATION OF APPOINTEE

This form is to be compicred before entrance on duty, Answer all questions. Admitted unfavorable
information about such maticrs as arrests or discharges will be considered together with the favorable information

- in your record in determi your present fitness for Federal employment. However, a false statement or
dishonest answer to any quesiren may be grounds for dismissal after appointment and is punishable by law.

4, PRESENT anc fatel

PL 02 VAtlSy OLIVE ALE AW ORIA. VA,
Lo Ape LYON MAVCHEITER PE KAM a SAMPE |

A.(A) IN CASE OF EMLAGENCY, PLEASE MOTT | 6B) RELATIONSHIP 1(C) STRUET AND MUMOLR, CITY ARD STATE (0) TELEPHONE ho,

= ; ae ; i Z
EILEEN. MA EY MEL | WF € SYO9 VALLEY oD ie" TE-Ef ay

4 DOCS THE UNITED STATES GOVERNUINT EMALCY. oS A CTALLAN CAPACITY, ANY RELATIVE OF YOURS car
THE past tawontuse (7) vrs:
Iwo, for each such rela

BY DLOUD Of MARRIAGE) WITH WHOM YOU LIVE OR HAVE LIVEO WITHIN

4¥, complete under ttem 12,

; oF ADC ne Rratin 2) TEMPORARY Of ROT
PUST OFFICE ADDALSS eae ’

(Give street number, i ang) + 8 DLMART MLE OW act Cy 1h WHICH

“ EI | Se | :
_ Maay ME LYD | Senee wick I> |Z ANYER.

CHAPLET £L0¥D woes | '

hilin the deena Oekte. Uf additional apace is nec

os, fume”

INDICATE ANSWER BY PLACING “A” IN PROPER COLUMN

0. (a) Mase You Leh Faro A WAIVER OF LIFE IeSURANCE COVERAGE :
» UNOLA THE PLOERAL EMPLOYECS' GROUP LIFE INSURANCE ACT?

INDICATE ANSWER BY PLACING

8. QA) ARE YOU A CITIZTM OF THE UNITED STATES OF &
NATIVE OF AMERICAN SAMOA DO YOU OBL ALLES:&
STATES OF AMIRICAP

an
ST) IME UNITLO

4. ARE YOU AN OFFICIAL OR CMPLOYEE OF ANY STATT TERS TORY. COUNTY.OR
MUNICIPAUTY?

Lf xour sore : i a.

7, Do You ALCP Vi UE APPLILD Fal@ aN AN EY FROM THE UNITED
STATES OR CISTRICT OF COLUMBIA GOUIRAMENT ACER ANY-RETIREMINT

ACT OR ANY PLNSION OR OTHER COMPENSATAY FOX WAITARY OR Naval
SEnvice? os

—iyese 68 “=

B. SINCE YOU FILED APPLICATION RESULTING IN TH AP , HAVE YOU

GLEN ARRESTLO, CHANGED. OR HELD BY PDE RAL OR OTMER Law

ENFORCLALAT AUTHORITIES, FOR ANY VIOLATION OW OUST PETER at LAW,

STATE LAW, COUNTY OM MUNICIPAL LAW, RT GOLAT KYW OR ORNNANCED to

. NOT INCLUDE TAATFIC VIOLATIONS FOR WHAT 8 UNE OO OR LESS WAS

D, ALL OTREA CHARGES MUST BE INLD OVEN UF THEY WERE

(8) 1 YOU HAVE-FILED SUCH A WAIVER, HAS IT BECN CANCELED OR
REVOKED? = -

1. SINCE YOU FILED APPLICATION RESULTING IN THIS APPOINTMENT
A. HAVE YOU DEEN DISCHARGED FROM EMPLOYMENT BCCAUSE:
io} YOUR CONDUCT WAS MOT SATISFACTORY?

(2 YOUR WORK WAS NOT SATISFACTORY?

D.'MAVE YOU RESISHED AFTER OFFICIAL MOTIFICATION THAT: ,
@) YOUR COMOUCT WAS NOT SATISFACTORY?
@) YOUR WOAK WAS NOT SATISFACTORY?

. HAVE YOU BEEN DISCHARGFD FROM THE ARMEO SERVICES UNDER -
OTHER THAM HONORABLE COND! TIONS? -

if your gaawer to A.B, or C in Yas," give de
tom ia rly a8 you can camegiber. jacta
J aripidy ta ob besc hed a

‘D APPLICATION RISUY IW Th APPIN T WENT, HAVE
YOU BEE BARETO BY -THLU, 5S, Civil SERVE COW SS. FROW TAKING
EXAMINATIONS OR ACCEPTING CIVIL HAVRE APA

Uf your anawor ix "You,
such debarment in trem 13.

W. SPACE FOR CLTAILED ANSWERS TO OTHER QUEST ENG Uadicate item numbers to Ww

Se
INSTRUCTIONS TO APPOINTING OFFICER.—You mustédem? 1b iat t Id be i t
with the Civil Service Act, applicable Civil Service Rules and Regulations, and acta of Congresg une Nidal in aan ormance
This form should be checked for hotang of office, pension, any record af recent discharge or arrest, age, ci PERAtment,

bers of family. “Also, to establish the ste y of the appointee, you should particularly check (1) hie signature and handwnting==—-
- against the application and /ar other pertinent papers and (2) his physical appearance againat the medical certificate, . ee

US SONERAMENT PRINTING OFFICE IRP-O-91 7702


14-0000

mye sicier ais | CATEMENT OF PRIOR FEDERAL CIV” ANO MILITARY SERVICE
int Saat ane AND DETERMINATION OF COM» <TITIVE STATUS

IMPORTANT: The information on thie form will be used (1) in deternsining creditable service for leave rucpsses and retentian
crerhte for reduction ree, dnd (2) in recording agency determimatiun af competitive status, The empluyee

should complete Part T and the Persunnel Otkce should complete Parts HE through V.

PART UL—THIS COLUMN IS

PART EMPLOYEE'S STATEMENT FOR PLASONNEL Grice USE
1 HAME (Leet, Avet, midilis saitial) ; VS OaTE OF Binin 9 RETERTION GROUP
. . Va) J MIEL- “My 30 40K PRL: SHO 10. a.cee status [7] ves [7] 90
2 UIT THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SCAVICE STIVICE YOU HavE HAD OF SIRE ES ENT

PRIOR 10 YOUR PHESENS APPOINTMENT (Do pot incigde military service.)

ne
TO. Trt OF ‘
NAME AND LOCATION oF AGENtY™ ° APPOINTMENT he ernie
: aii Year | wont | oa Jk RNA WORTH oar
: : . ;

4: LIST PERIODS OF ACTIVE peace AN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES. IF YOU HAD NO ACTIVE
MILITARY SERVICE, WRIT

a [ak Poin ar] ta |
WS ARMY areas Mb THhg/| OV | >» “| ood. |

weet Get se

3. DURING PERIODS OF EMPLOTMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE | 12, TOTAL SERVICE

WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? (ves [} 80

UF ANSWER IS “YES.” LIST FOLLOWING INFORMATION, "¥3. NONCREDITABLE SERVICE
(Leave purposes only}:

woe, Furl, Susp, AwWoL, Mar Mar)

ww NONCHEDIFABLE SERVICE
(RIE put poses ony):

6, CURING THE FEDERAL SERVICE LISTED IN ITEM 3, oro YOU "ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?

Os (no ms -

Cl anewer is “Yaa.” in what agency were you emplayed at the sie atatus was acquired?)

15. RECMPLOYMENT RIGHTS”

HC) Ge

6. RETENTION RIGHTS.

7. ARE (OU:
A. THE wire oF A oisamien vevenant [“] ves OO»
& THE MOTHER OF & OECTASED Ca CAsABteo veTERANr [] ves [J no
vos NO

17. EXPIRATION DATE OF RCTEN-
TION RIGHTS

G THE UNPEMARRIED WIitra GF A YETERANY

Towcar (or affirm) that the above statements are true to the Lest of my knowledge « and belief.

Piha (PEC mea
(DATE, i) Pete .

Subscribed and sworn to before me on tnise” 7 doy of ae we at.
. : {MONTH}

SEAL

—INSTRUCTIONS: File:this-form on ihe pemenen!, side of the em
“Sa action 1a involved."

. —e teen


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29 APR 1971

M EMORANDUM 3 VOR ¢. Wegistrar, Office of h tadical Services

: Modical Report for Myroslaw A, Makoymiec

Ll. “Mr. Myfoslav A Makaymiec Is applying for disability

rotizement,

Z. Inaccordance with FPM Supplement B3t- 1, G 10-5, it le
ated that a modical raport be submitted to this office to be for-
warded with other documonts to the Bureau of Rotirernent, Insurance

ana Gecupattonal Health, Civil Services Commission,

3, Mr. Maksymiece plans ‘to. remain on duty through 26 May 197i

ponding a deelajon on ble application for rotlroment.

ing documants are attached: Application

4, cone of the follows
- temewesewest, (2G01-A), and

; [sl Francis G. Monda

Francis G. Monan
Chief, etlroment Affaire Division

Attac binenta

Distribution:

O @ 1 - Addressee
1-0OPf

- Insurance Branch)

~ ROB

- ROB Reader

1
1
1

OP/HAD/ROB/Lirch:sl (28 April 1971)


ron

Looe a SECRET

(Bhen Brtfedt poy

QUALIFICATIONS UPDATE

READ INSTRUCTIONS CAREF ULLY BEFORE COMPLETING, TYPE OR PRINT, AVOID USING LIGHT COLORED INKS “Ame ~
NE EE DR PRINT, AVE

Now that your qualifications are a matter of computer record, they must be periodically
maticaliy for much uvformation; Rowerer, some must ve obfained d
Section I mus? be completed in all cases, You need provide ether
you submitted your Form 444), "Qualifcattons Supplement to the Per, {Mistery Statement. o7 a previous update form,
1f you are in doubt whether infurmation kas been Prevtously sub di, enter it in the aprroupriate section, The signed
and dated form should ve returned through administrative cha ty the File Koom, Ufice of Personnel. Room SE-23

. . Headquarters, whether information ts added or not. .

Additionally, a qualifications undate may take place at any time there ts information to de added or changed simply
by completing and returning an update form on pour initiative. .

urdated. This is done auto-
rily from you, This form is for that purpose.
ermation only if there have been changes since

SECTION 1

BIOGRAPHIC aa POSITION DAT

me, Sh SS NAME (Lant-Fivatowiddley 7 = Oate OF BLATH so.
63. / f MLEL + o[ fq AMOR Ww LP wey, fOr? [|
e3se 55 Vey gh 7; J TL YMEL, Hyper fy EL LI?

on

, ¢
; ° HIGH SCHOOL ;
Last mice SCHOOL ATTENDED ADORESS (City. State. Countey) MAAS ATTENDED (From-Top GRAOVATE
(WASH ae TU 4° : 2. is . _ Af pes ip Las. Cres El QO ~
COLLEGE OR UNIVERSITY STUDY : :
. . S$ roe . . ,
. NAME AND LOCATION OF COLLEGE Of UNIVERSITY chrdinh YEARS aTTCNore PECEE YCaR Seucota.

FROM. Tas

Recuevro] RECTI

AM Ow 7 hompnry Sunygy ch bree
. wa It
2. IAA Mee ers
BER Cay ctv ene 7Ty oc | biistw
IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED Sunmis
PRHOSIS AND BRIEFLY DESCRIBE 175 CONTENT. .

ce AFCA : fs

ON OF A WRETTCON THESIS, INDICATE THE TITLE oF THE

NO. OF MONTHS

NAME ANO ADORESS OF SCHOOL Frou oO NO. OF MONTHS

Ce ee SE rT

LOFAT CF AE RACH LTH OF

i 2
: SECTION 111
te PRESENT STATUS (Single Married,®

MARITAL STATUS
fdoued Separated, Divorced. Annulled Remwarrient) SPUCUFY:
2. MAME OF SPOUSE - fhaat)

(aiden)
MANSY Ep eFC E _ UAE
4 PLACE OF BIRTH (City. Seate Country) - -

WORCHESTER ALAS S

$. PRESENT EuPLOVER "

3. DATE OF BIRTH
LE OOF oye
$. CCCUPATION

Mo us Fw LEE

: 7. CITilEensnie 8. FORMER CITITONSHIP(S) COUNTRYLIES) 9. DATE Ves. CITIZENSHIP acourrgo
VES -
D4 SECTION 1¥ : OEPERDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE ~~
t : . NAME Dare AND PLACE OF BIRTH CITizensHie PERMANENT ADDRESS

. G 200 ; : —~ — ~ :

G DELETE

mo, “Ey 00 oo ° " ” a To
ros - (] oreere
a vee SUMO ess rguytees (Geddy SECRET wit teat


14-0000

SECRET
L: : oo , (ahem Filled Iny
, GEOGRAPHIC AREA KHOWLEDGE AMD FORE: &¢ TRAVEL

HNOELTOCE aC7Uth4O We CHECK ES
“NAME OF REGION - TYPE OF BPEL IALAZED. 1 QAyES OF Rave ‘La7Z @ PLACE
oR COUNTRY rebaLeyse "| on aesroence

‘sa yruoy : >
cence presets | atver

pase ak wor s Spo : ~

ace Head 1058.1

SECTION VI 7 Te TPG MHD STEMOGRAPHIC Skitis
TT Wiping (*FU)]2. SHORTHAND( PW] BD. PHDTCATL SHORTHAND SYSTEM 3L0--CHEC® UN?

aPePoOPRIATE ITEM
: : ; a) OTHER

7 Cl ewess [srceoenitine | [] stenorrec SPECIE TS
SECTION Vil SPECIAL | QUALIFICATIONS |
PROVIOE INFORMATION ON HOBBIES, SPURS, LICUNSLS. PUBLISHED MATLRIALS oF

‘ G A IOL, PAL? ay, ‘ DM A at eA fas

. . a!

~~ cz LONE}

Peete the my Miho £e Publica Tew 04 ES (Ee. Boy!
Ad yi LLL CIAL ME CEES ! Le LI

Psection Vil MILITARY SERVICE
; — CURRENT ORAFT STATUS
1. MAS YOUR SELECTIVE SERVICE CLas.iF iCaTiOW CHANGED? z
CO) ves Cj #0 ,

- i . :
3 LOCAL SELECTIVE SERVICE BOARD BUMSED 8 and aDDHESS 4. 1F TEFEAREO, GI¥E REASON |
i :

MILITARY RESERVE, NATIONAL GUARD STATUS

FIVICES. WHICH YOU WAY HAVE INVENTED.
wad mo, :

- NED CLASSIFICATION

i .
‘CHECK RESERVE O8 GUARD ORGANI: C] aauy . MARINE CORPS ican , a (1D *4tiosat Guano
TATION TO WHICH YOU BELONG Oo i] COAST GuAhd

CI navy” © ain roace a . CD Alm sarional Guano

y Te
bs CURRENT RANK, GAADE OR AATE 2. GaTE GF APPOINTMENT IN CURRENT RANK i S.EAPIRATION DATE OF CURREMT OBLIGATION

45 CHECK CURRENT RESENVE CaTECOSY [] wavy MLSERVE O STASDOY( active) i i Wye rica ["] viscnancen
S. MILITARY MOBILIZATION ASSIGNMENT . » RESERVE att 7 errs ASZIGNED OF “AV Trachea

MILITARY SCHOOLS COMPLETED (Farended Active. Peerree Duty, of a8 Civillan)

NAME AND ADDRESS OF 3CHG5L) BTUDY OM. SPFCHaLizetiom | DATE COMPLETED VEEL:

Aurege nro Ie ares . SNTFER LD LEA SG EC
Loar wei LAL tf? Ap l AQCal re SPONSORED

SECTION 1X PROFESSIONAL SOCIETIES AND “OTHER ORSA82 TATIONS

re ee Oalte Ge wiuathaniP
NANE AND CHAPTER AOORESS (Number Street, City. S23te.Cauntry) —_
7A “ag EXPLORERS An Fre You ft Arke

WAS IME Tey ae

SIGNATURE OF EMPLOYEE

; 7 SECRET


~ : SECRET

(ther Filled

te)

QUALEFICATIONS UPDATE

READ INSTRUCTIONS CAREFUCLY BEFORE COMPLE ETING. TYPE OR INT, AVOID © LIGHT COLORED INKS

cy must be periodtcatiy updated. This is done auto-
si ti rectly from you. This form is for that purpose. ©
her information only if Uncte baxve been changes sizce
sryonal History Sta Wine.” of da previous update focm. .
ted, enter,it in the appropriate section. The signed
sto the File Room, Ogice of Personnel, Room 3E-13

“Now that your guatifications are aomatter of computer rece
maticaliy for nr uch infermation: Rowever, some must be obs
Section 7 dhe completed in all cases. You need provide
Form $44), “Qualifications Sip plement
f foie “ehrther tt, information has been prevt
aqnud-dateéd form ould be returned through administratir
Headquarters. whether information is added or not.
‘Additionally. a qualifications update may take place at any
by complesng and returning an update form on your initials

ime there is information to be added or changed atmply
€.

BIOGRAPHIC. AND POSITION DATA

SECTION 1 .
. cur. sea. who, . Ttaur (iat. Firat. swidtle)

esses” Ny AkLy nif, 4

SECTION U1

DATE OF BIRIM

UAosSsaw AVPREW
Fruc ation
HIGH sancce

aDORESS” ce ity Srare. Country} | _[ YEARS ATTENOED (Froa-Ta) GRACO TE

LAST HIGH SCHOCL ATFFNOTO

ONT tlc FOF COL lon BLA Sysreoa | WALA LLETES OCF (EP bs (ae OO”

COLLEGE. OR UNIVERSITY STUDY

YEARS ATTCNOLD
FROM--TO+>

NAME ANG LOCATION OF COLLEGE OR UNIVERSITY

AM ERICA AA Ca VERITY
Me WASY WE TN OC
2.

IF A GRADUATE CEGREE WAS GEEN NOTED ABOVE mice REQUIRED SUGNESSION OF A WRITTEN THESIS,
THESIS Ano DRIEFLY DESCRIBE 175 CONTENT.

INDICATE THE THTLE OF Fors”

TRAOE, Commerc a AnD SPECT AL! ZED 5¢ SCHOOLS

oe Name AND Aa0DRESS ‘OF SCHOOL “ study OF SPECIALIZATION FROM * . td

Bee x LANG Kae Trak. | RasSf paw CGS? VA CaP
: Va Rapcdy CA £7 ‘ oo
NTE ALIGN SCY LRT bet £1 Bet | CMLL ELIE ENC Tyuoy CPS, LM COTY

OTHER wOu- AGENCY, EDUCATION Of OR TRAINING WoT INOICATED ABOVE
stuny oF SPECIALIZATION

. TO HO, OF WOH THS
6 CHEE
__ Ate ay aek
16 Mian T tt

ee NAME. AND ADORESS OF SCHOOL _

DEPP, OF ART tt € FUR TECHN CLS oF
Moree COLOR pho oft ptt y| OF C6 be Pita BETA
: INDO LALIT YE COLOR

2 : __. ee Ce gerard “SS
‘ StCTION 11) : MARITAL STATUS
1s PRESENT STATUS (Ssmale Uarriod Titonet, Sepacatadd, Divorce noudled Remarciet) SPECIFY:
t, NAMt OF SPOUSE ” (Laat) Firat) a (idle), ~ (Vaiden)
: - PAA LS y MIEL 4 Ele. LEN LLIZAB ETH EMR ft F
2. DATE OF DIRTA . 4. PLace oF BIRTH (City. State, Country) :
23 007 woke HESTER YA SS
. 5S, OCCUPATION 6. PRESENT EMPLOYER
Soy SE WE
; a CIURIZENSHIP #. FORMER CITIZENSHIPES) COUNTRYLIES) [* DATE U.S. CITIZENSHIP aCcurkeD
YES _ _ ;
SECTION IV DEPENDENT GH LOREN AnD DEP ENDER or) OTHER THAM SPUUSE
DATE AND PLACE CF BERTH CETEZENSHWIP PERMANENT AdCOELS

aaut RELATIONSHIP

oO OTLETE
2. oO apo
(J orcere

SECRET

pore 44UA

2-68


14-0000

f
fay

SECTION V¥ oi AMD FOREIGN TRAVEL

feaME OF REGION TyPe OF Shen eaciseo saasetl Date & Flare
OP COUNTRY _ may te OR O8Tsthe |

iS ees

?
SECTION VI
1. Pepin (HRY) 7 SNOB TWANO( DPW Dh 3. Putt atl SHORTHAND SYS
i Cheeese Corer
SPECIAL QUALGFIGATIONS
PEGVIUL INFORMATION GF HODGIES, SPOTS. LICENSES PUBLISHED “ay

TALS OF DEVICES SwICH HOU MAY HAVE ENVENTEO.

SECTION VIIT WTI TARY ‘SEIVICE
CURRENT DRart STATUS
EET
1. MAS YOUR SELECTIVE SEOVICE CLASZIT IT ATION CHANGEO? 2. CRN CLASSIFICATION

T# OEFLAMLO, GIVE REASON

EHECK RESERVE 98 CuAan ORGANE- [] anuy (warren, comes

ZaTiCh TO WHICH YOU DFLONG CI savy (are mince AIR HATIONAL GUARD

t. OF APPOLNEMENT IN CURIOS FANS D. EXPIRATION CATE OF CURHENT OBLIGATION

CHEEK CURRENT REStOvE Carecosy fj erauy rescave  [] stan

MILITARY MCOILITATION ASSIGNMENT

~ MILITARY SCHOOLS COMPLETED (Extended Acriive. Severve Dury, oe a8 Civelian)

NAME AND, ADORESS OF SCROUL STUPS GM SPECEALUZATION | CATE COMPLETEO

SECTION 1X ‘ PROFESSIONAL SOCIETIES ati: OTHER ORGANIZATIONS
nes DATE OF WEMOTASHIP
NAVE AND CHAPTER : ADDRESS (Numbey.tincee City. Seats ,Coosteys) oe iene

3.
ZECTION X

SiGhaATURE OF EMPLOVEE


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peetent, Tin cnipayed by :
ahi sui, DC, :

: photog:

pebiiine, py OCEEine, amd Ceiling

“poniicnt, basis 1 py aforincd Cara ps tan; els nud White and
: . color, rl in, EA Mellon picts Picdopeaphie 4 eabertentss,
: appropri Flt, Corel tions Of Caine » and Oltey ae eowhich juehacd
: UWiraebtel: Cpe Camere G--5 thoaspad Pennies jie
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“Tnke Mieence / OUCY,

commmcadstion" hy Clecction of the
ALOPIOUE Fersdeu Wh tie Central:
e F8G3,

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fag, for an

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ith cud
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PIAL ES TIMER

oricuce JE-2

Soved diy the Pubhi-

During (ie poviad f 12h)
colions: and Seey Ldn Ctics stom Chbeh of Lootf for Ine

: erat
Jopariocat of the U, 8. Army, Washington,

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‘stoblishod « secicnce of 0} Wone ornapet
and Cinely re pr edtion ofr On Pcie
by uditis, fJabor standard dato to ene

Twas

ofor delormining the over all n eaps wor requivements,
equipment, :

2 ete ey HOC wclives of } ire

Hascilen,

Dreviewed qudity ene quantily of worl produ
fnopection, ef.

rent of Defense, -

ntion’, De

(1) Awardee:
Mii A

"AG the ter
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near » desire

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“of our thanks lo you for your effort

i
ABRIL. 88,
F 7

sporicnie 18-2

* Dut a Fine. v

Ylached Coriifi ar AY

dat
slat i

THe
on

join niedn wishing you every suc

IY C. NEWTON

ie

USA (RET)

Torigadicn Gener
Div

CORe

@) iin

are then
Bone FT
thet

MAMSYMIEC tox yi!
+) Gurii
ton in flag O's

“Ghen M/eet B)

"Shave known Liv,
seven yours. For
period he wa 1
Ariny A! te
time
MAKSYMIEC.

OF Tie

S peaiaary Jub wos
chief of tt ie photos re i
he was also ji hic:
Army Attache.

Jn th
of the oulsts
States. Dis
viewpoint auc
Ueais (hat
: seondedily heey i
juderient. Ie
were ususliy

subject (muinaa of mie

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AW ARDICEAY MAKSYMIEC
| ; po ADPTURCSG, VOLT . \
. PR, V1 - Mspericnee 18-2

Jos ure No. 2, Pare 4
\ _ _
\ , Myr. MANSYAREC's inany skills include oulstastioc technical
; : whility in every phose of operations in a puotumraphic laboratory,
t t .
: a Dhave heen informed that wiite Workin. in Washington, wl the
: i Pent n, Mr, MARSYMIBC tis coniinesd to serve (he inercsts of the
. i United Slates. We has Leen a leelurer af the Militar ya ywce Ine
: ; ; BURG, Gnd in dit camietiy has bec offacintly comuinended by Brigadier
F General Henry C. Newien, Dincctor of tie Insiihiie,
i 2 7 . .
i White lw 6th U.S. Ariiy War Collers at Carlisle,
: Pennsytvania in L8s8-1G00, My. MAKES YMC was of considercble ag-
i sistance tome in the eehiee propuralion oi ma ‘he Greater .
, Sondiland Movernent, a study jn the st mie unificnnen fu ihe United
: Siaten™, : , . :

, I fend that
dilived worl k in ihe field
ednall pa s of paelo-
Heelion af J "
‘of nue

Yased on my personat

Mr. MAK SYIWMIEC js eminent}

of intelligence. He would he j jemiavdy vn

: graphy, and in collection, evaluation, or di

His iuvestioaive ability, particulary in th

order of bat Uc, or toehnical suns] ;
lity to coMeet ans

‘om .

OND, TOWNS he
Coen) U.S. Aviny+-G
ters, Joint Uniled Stale
om for Aid to Turkey
Tre ¢ Branch

YON.Y. os :

a ar
ni RA ai

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OY ARIRIUAY BMARSYRHEC
194%
: * 2
: ; * : hi, on ~ he

: Enclosure No, 2, Vane 4 we
: AS My, Seyourn is rn:
Government and P can ssure you thal vous talks
. part in dis orjentass Your hnowledee of Hthtop
is renturkable and alaabe you Gn yaa pieiar
. the country.
Mr, Witliara Acimbrusi joins me in the you far assisting in
the instruction of Bair. Seyaurn and cxpecially fox -yente kindness in showing
a
the remarkable piziures,
Sinceresy,
. Py: stn
n, D.C. ‘

cpl: : - a er soe _. . poo : 3


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INROSLALS ABDUEW RIARSY MUG
APL 60, PDT
iarienee [8-3

Vii - 4

OSULe Ko, 3

Doring the peciod 1
system, G2. Intel rence,
establish p
ments in

ston and ‘I

Ho During t}

: Tectod areus

‘ a “I modified 2

: that were faced wi!
won Of Bevere low dempe: viares inthe:
. to abnormal influences,

Il wits essendiat (hak Pinal
ives that would permit 1
porting on finn w shin ‘aonint
seguences, ‘This. feed mo ta bat
CNYNCETS, Scion
capahilive :
of the ‘specific pro
my abilities, fnacsin :
graphic aspeets. :

EE op: paling
ge offieiats,

ta define the

ie the tebe planniae
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have perfoumed om assl
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3.0 My best wishes to with you for continued sucec

infulure
assignments,

4. A copy of this Inte js hotoe forpeerdcd to The Adjitant Gener
for inclusion in your officiel 201 file and copies will accompany your
neal efficiency report.

mapa

SGN, Th. C. PARTRIDGE
meat of the Avr -

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SECRET

. Cthan Pitted pry” ..
,
QUALIFICATIONS HPOATE

FORE Cf

READ IN
EA IN

cally updated, This ts done auto.
This form is for that purpase,

nly if there have been changes sic’
ry MeL. OF a UCUIGUS Kpdate form,
: itled, enter tt ai the appropriate acetion. . The'signed
arinels ly the File Room, Uyice of Personnel, Room 38-43

cations are a matter of computer record, $

New that your opt
7, SOME aHERl he oy:

matically for must tiferniation: howen
Section fo must be raitpleted in all cases, You neen pr
MO Subinilled 2 ore Absj, “Qualifientions Supplem
tf pou ure tn do Nether information has oecn pre
and dated furm stv dobe relurned hrougn administrate:
Headquarters, whe * information ts added ar not, .
Additionally, a gruati gtrons update may take place at any time there {s information to be added or changed Shaply

by completing ara returning an update form on your initwahves.

— - sn en aa

SECTION 1 ; BIOGPAPHIC ba PozitiON DATA

“ yOnwl «Leet -Pieal-Widdley

mn 035655 7 MAKSYMI EC_,Myroslaw 4,_ a Le
SECTION IE Fit 571m ‘

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COLLEGE OR Laws yiae

DATE OF Gretn

—.. 94/30/17

an,

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YEARS APFINTED
FROM.» TOns

OF COLLEGE OF UnivrRsiTy

NAME AND Lacat

AMERICA LH Gray. Wray OC

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THESIS AMO nREFeLY BtscHtsr 17S CONTENT.

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+ OF MONTHS

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SECTION ¥ . -_ GLOGRAPHTC AREA AWOWLEAGE ANC FOREIGN TRAVEL
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FAUVIPE INT OOURTION ON WONRIES SPURTA. LICENSES,

PHOTO ba pey SCygAr O00 , FS Mrne .

PUBLISHED VATE TIALS ON OAVICES MHEG Fats Mae HAVE INVENTED.

SECTION VIO)

. CURRENT DRaFT STATUS :
a a ae ae eee een ens a A RY
1, WAS YOUR SELE6 TIVE SERVICE Tass) GaTION CHANET OF Nie CLASSIFICATION

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~ THILITARY SCHOOLS SCORPLETED (Futemied Grive. Buneree Duty, ar a0 Civilian)
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SECTION IV . GEOG OAPHIIC AREA KNOWLEDGE AS1D TOUTIGN TRAVEL
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1, rere ALL HOBBIES APIO SPCRIS Id writ #1) ARE ACTIVE CR WAVE. ACIIVEYY PA t

PUTA RAH Y, PWIAMINE, /CE SFATIndg. (weee) :

FACLUD ING BUSINESS EQUIDI EN! O® rACHHGLS VIICH FOU MAY HAVE UISILD IN ITEM 4, $EC Vo USL AMA SPECIAL SERLS YOU POSSESS RELATING IO OlmEd EQUIPMENT AND ot
PARCHINES SUCH AS CREIB NG CH BAL) IBANSMITIERS adicute CW 10. rertieg A vy) OFFSEL PACSS, WsGSLT LATHE, COP AND OTHER SCIENTIFIC & PROFESSIONAL CEVICES, '

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ASE YOU BEGISTEREO FOG HE OkatT:
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MILITARY SEQVICE RECORD ‘“Actere Duty Orly! .
. . am Osgan, (Arey Ngee om party, [Tr eeante ra , etended ie due
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eh eines 5 GANS, GRADE OF SATk : & SERIAL SENVICE OS FALE Reeerrey :
: NONOGAELE CISCHARGE NOUL HARDSHIPS
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SPARATION ELEasE 10 INAC HVE QUI oO CT once soe
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6. CREF OLSCRIBTION OF MILITARY OUTES treturd the dues and stuls wich Beat eure poe! #10) oF luniign im the eiltany vere ;
enna -——---__— ~~ '
MILITARY RESERVE, TIANONAL GUARO STATUS
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: 4, CHECK CURRENT RESERVE CATEGORY Ci] seany resesve,  ([] stantee tocveat STANDBY fnnitiee? senate :
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, Nene

TRAINING UNIE sGEhT

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on!

MILITARY SCHOOLS COMPLETED ‘Active Duty, Kesaree Slots of os Cr
S16 O® SPECIAUZ AN . oaecommero | fo |

Name AND ADDRESS OF SCHOOL


14-0000

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AGENCE EMPLOTMENT HISTORY

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$, G2aSkS MED IN 108

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— WOWE

2 MOCATGM (Cowes, Cites

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5. GRADES HELD IN 108

1400000

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AGENCY EMPLOFMENT HISTORY (Cont'd)

4 LE OF 208

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6. CESCRIPTION OF CUTIES

—_ _ SECRET
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TSIAIUS thegle Maced Widewel 5
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JT Date OF Blain DT ELACE Oe plain quty,

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SECTION XE

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fl7- Spectal qualifications and Skills ,

‘ (D) 1. At the close of my assignment to the Office of the Any
Attache, Acdig Abana, Bthiopia, L waa awarded the Gold “adalion (Order of
Etalopia) by pmperor Haile Zolazaioe for oxtragrdinarys piutormaphy accomp=
lishrenta concernin: the Amerfosn Embasay and the Enparor (1953-1955).

2. Also on tae personel recomearnlation of Alfred Kisenstasdt,
Life Magezine's head photecraphor, [ was contractad ty Life Mazazina
Lo cover the Cllvar Jubiles of Emperor Yatla Selassie (19695. Thia ine -
clude} all phogosraphy wor’ and literatura concerniny: the Jubilee. This
work appeared in Lifa ttagnzico Lasue Noverber 2, 1955. : -

3. waddle assiined t the Af {tee of tha Army Attache tn London
1195941953) covered special auaiznnents for the American Rmbasoy, in-
eluding tha Ambassador's proaanting of hts crodantials to the Court of
St. Janess King Georve Vi's funernaly and Queen, Rlizatetn's coronation.

7 ALL of the above 1,2,and 3 were photographed and processed
by myself up to tha finished product.

‘he Coneernin: my recent photovrephic work, 1 won lst, 2nd, 3rd,
ith, and Sth prizes in the Kilitery District of Washington vhotozraphie
Contest 1960. Also won 1s prize for Ft. Myer, Virginia, photoyraphic
contest 19%. .

5, Mecauso of my extansiva knowladge of Ethiopie, 1 have been

ve

lecturing ot the Foreign Service Inattituta, Arlington Towers, Yirginia,

‘from 1956 to the present tino, This also included tha showing of my

persons) color elides on Erniopia at All of the lectures.

6, Have also had ry photos accested for publication in TRAVEL
Megegino and huve appeared in numerous tseues. :

7. Shot official aerial photos of the Pentagon Building and

surrounding areas in 199. © ;

#l7-P - Camoras and Laboratory fquipment that I am extensivoly familiar

with:

Cameras

Ti Yefea 35 am
2, “aroan 35 es -
3. Kodak 35 ma

“A. Minox Miniature

€. Rolleiflex 46x 6

6. Speed Graphic Lx §

7. 8x 19 View Caceras (Kodak)

8, 70 mn ROLL Carera

9. Ke20 Acriel Carera

‘19, 16 mm Turret Movie Camera

Lah Equipment

T, Standard rhotostat Machins

2. Nzalid Machine

3. Recordax Copy Canera

lL. Robertaon Cory Camera

S, Nmexa Pnlarger (i:x0) Auto Pocus

6. Zoitz Focaat Model fIT C Auto Focus
7. vorse Contact :rinter (Aerisl Type) |
8. domaco Power Contact irinter

oa

Tee oe eee a th

E-
%
2


14-0000

Prior to entry into military service worked for Borresia Studios,
Manchester, X.i, 1935 to 1¢h1 as laboratery teehniclan., In 19l5 resumed rhoto-
eraphy career in U.5.Amsy and continued in thls fleld up til the present timo.
Skills wero develeped in the phetocrapher ant photorraphie laboratory flelds
and rose to my present rank of Master Sarcent, My skilla aga photorraphor
include an operating knowledge of all characteristies ofesamaraa and equipment
used in Amy photerraphy and the theory and practices of still and motion pice
tura photo-raphy. For example, sope of my duties ineludes

- 1. taking sti]) photoxraphs for nows roleases, publicity, medienal
and historical value.

2, takin: still and aerial photorraphs and motion pictures

3. takins of rotion pictures for uge in preparing training,
information, and historical {1m . . .

lh. supervising thd tnking of atill and motion pictures ~
i oe sevasststing superiors to establish priorities, scope of miasions, .
Be . . and work schodules a

“ ota a 6. assicniny: photographers to mlusion on bnate of qualifications,

criticising comploted work in discussion with pPhotorraphera, pointing out
technical and artistio.deficienctoa and methods by which such defects ean be

avoided ; eee
MY qualities sg a senior NCO if thte-field include knowlny tho

capabllities and limitations of subordinate personnel, Using—vary_ able to
instruct and. demonstrate propor camora techniques, and be able to Construct-—_
ively criticize and evaluate the composition of photographa and motion pio- es
. tures, ; ‘ .
. “My skilim in. photocraphle laboratory fleld dnelude a knowledgo
of all the oporating characteristics of Army photorraphic Laboratory equipment;
the techniques of both conventional and semlautomatic photorraphic processing
of otill and motion pleture. black-and-white snd color filmy the ability to
demonatrato and instrect the appropriate photographie leboratory techniques
and procesaesy tha ability to organize and supervise oparation of a large
vee . , Amy photographic laboratory; tha’ knowlodea of operating procedures: and ine
cat atallation and. oranisattonal maintenance tochniques pertaining to Army
photoyraphic. laboratoricsy and am able to ‘supervise, plan, and condurt traine
ing in all phases of photo:raphic processing, Am oxceptionally skilled in -
‘making copy negatives of all typos, performine liao tak work, making line
hegetivea and half-tone negatives, view zraphs, 35 wm slides and 2 1/l x
31/u alidos, a . : ,
with ropanis to my physical qualificationg, I have very good nea

and far vision, gooi oyv-hond ‘coordination, good manual doxtority, and very

good color vision. My hearing is above normal and my speach clear and well
annunciated, . ;


14-0000 _ , .

| ind of Dyern

arp of eat

Station 8 ° ~" aoe \
—

Viel

Ite aan fie des

Kiel of . Licensing
Liane, wo Authetry

L

as and peaches equipment wu eat
pepunch, coret lathe,

Photographer, still md motion camera
Photostat methine, ozalids a1] types
f photo reppoduction and. film precesa- : L
co tae eaviaabb.

onde per minute in:

i
:
arene enaiatt eet ese

Typhng ee eee cee SOD aNM ee eeseene neces

A. Give the highest stementary oe bigh-senyat grade completed...
MW you completed bigh shoot, give date _ pene eee
” Contra]. High, Manchester, N.H.

1 | Years completed

wbool, dates atteroled, subjects stuiied,

buriness. Give fue each name and locat

1) Other echeads or ts
certificates, and any vihwe pertinent data;

tv. Have yuu Jived of teaveted in any foreign evuntisad

Popo ote

Mf sniecr Monames of councs

leogth of Lime
bussed, selection, OF Baiativas,

243 — 14 BD


4-00003,.«

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|

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i
'

2 VO AND
eee of eupery

NOP RIEAT
rlying, Ska Ge coped

Ss OR OCCUPATION

_Attorney,

52 Oakwood Street,5.5, Wasn 9.C, Adm Ass't to
Oo ——---- Senator: Sridcag—-—

as . : |
‘ Willie: Arebrust | L005 Loraine Ave Tal “as ch church Ve ores Postmaster
. eee Bene REF i Ne |

NO

tempter mgandin

eeiey or Rae
toe Gerad af te

Sent pene on orhed een oo bet Tilasry i ix

witg details Ta tena 24
at ve empluyge Of, any Stele, Fuser,

7.) Are we
vt doausty
bination

SMR OF

tray deca
aderid,

"Yes? glee dates of and erasoes for rack

get Ape
digas ochee:

SRL Mare view ever been discharged from employment hecaure:
ahh Yow weuduer way gop veribacion 2 . zx
es

rod} You werk was net aauafactary? |
et

Bo Maes we ere eign after offieial eeaige
Gat Vows eerduet 8a t 2

aoeed)

1

Cy Yous werk wane y

in
baw

erprwor empl ina ch
sor mart wath

Vp year ere om
telat

tedreat

Nave you sar paosieal handicap, ohn ated el
ity? . viata
ae ‘S* by fure

ee den whi

harges fat be

~-Rebaring- daly 1962

"after 20 years of sétive
~ service’ ‘in the U.S. Atay

J Span
United. Kingdom: 1356-1953

oo neste ~ Bthoopia

wee tae ee eens dines

oO ANGI, Use Paper (he wane gine as tb%s pipe, Ware on cats

sf sour ina, Metare
eens

ave with the favorit: i

Met Wane question ine bee

ATTUNTION

Ten, @o Rak oe

sor cond or
tor Cansaliotas

ead are made

Yo chat the aticemencs mace Oc ome in this applcanen are true, compl

ia Renal U4

eh. SLPS

raw. 228 ‘eat

meer cary

ae


14-0000

wre
‘ SECRET
phen Prd fed Jae

LANGUAGE DATA RECORD

PART 1-GOeLPAL

- Saw e Slope Per ere rtgin, se cn ee

MALT VBIEFE [OI fPOSLAW. ANDREW B2#PR 126 | /F/7

Be LAA . Poerw i re : i a | ’ sav Mo Pm ITICEENCY
es ori . th LEY 27 wy 122 /50/ | [}. aue JAG LANGUAGE.

PART ji. anGgAST ELEMENTS ©

PCAN BEAD Thats C8 Bee sisse

WET. OF A GENERAL Nar,ot
Ye gaa wamtyy,

Is FIELDS § AM FAMILIAR BETH, USPOS Tet OFCTIONARY

VSING THE

Iocan wbap teers a
StCTaTNaRy O¢4 bo Ae,

Weees OF DIFFICULTY, o's CADEMAL NATUGE DS FE PIELOS Fo aM FAMIL Tad etter,

1 24N BEAD What
FeEREN TY,

44 CAN READ SimbeE CEOS, Cece BS STREET SIGNS, NMEMSP SDE 9 WLADLINES. €20.. USING JME OfCTIios¥se* FECQUINTLY,

Tef LANGUAGE.

Writing £41)

DhanY. 1 CaN
S#L ERRORS, IN

1 SAN WRITE HE Oso ay
UTE FAS TuAL nezon

TTESS 2H SIMILAR MATERIAL ior COMPLETE SuatEsSs$ si twOUr USING THE O94
 EFPCSETORY MATERIAL MIT ALS: ON ADLE CLMEUIS. STH VERY FC GRAMMES
2T2DNAPY ONLY RARELY. . :

{ CaN CRITE PLo times AND SIMICAR SIMPLE MATE PIF. SETH COMPLETE SUCCESS, USING THR OF
2 PAGEL YL Of Lee eet re Fete BsERATHVE AND ENPOSITSE> WEILRIAL WITH REASSNABLE CLAMITY. ata
CREDES. OUT Fes STeLT welte mes NOT BE NATIVE, USI6% TH DICTIONAEN SCCASIONALLY.

TOtNMPY ONLY
# URAMMATICAL

TVESS 2n SIMILAR SIMPLE MATE SYST, WITH REASCNASLE SUCCESS IN CONVETIOS wy WEANING,
SRF GES aATICAL ERRORS ANG IN GEFIUUSLY FOREIGN, ANCBAHD STYLE, USING Te DICTICNARY

AL
SHMILAR SIMPLE waTsoeeL, Tm REASONABLE SUCCESS IN CONVECES WF MEANING,
ANZ IN AVERY FOREI CR, AWHRARD STILE. USING IME DICTIONARY SELLUENTLY.

PCAN WRITE PEO Stas
SITs SCCASICMaL
OCCASIONALLY.

4 PCAN GRITE PEepicase Le
BuT ett Mann Cosma tt a

Smelly DUFF ICULT FOR NATIVES TD UNCEOS TANS. ,

ne

C mae ND Saiki ie Pete le person.

CONTINUE Gi REVERSE SIDE


14-0000

SECTION 3. Spenking (43)

HOCGNVERSL FREELY ASO I1DEGMATICaLs

"Ee ANG ACCURATELY FN ALL PRACEICAL AND SGCIAL Sa tuatict
Cod aM paMIL bap,

tosrtar gs

' IN ALL FUP Ent arte

“
AnD C

GONVE MSL IN MOST FLEX
MUN PROVERUS,

TCA AND CS Ger ae aes
Ltrieaee

She Bad ACCUATELY (4 1 AMLy ALL PRe
SOP AILIAR AND 1 GNPi ty SUME POPULAR Say dy

tsPhae 6
OT wre merce?

IN SITUATIONS OF DAILY LIFE AND TRAVEL AND 449 04

rte

week

Ger ato,

a. MANAGE £5 Att RL UNG IN THE MOST COMMON SETUATIONS. OF DAILY Lash ane TRAVEL.

SECTION €.

. + . 2
FoF ACE BND ON Pall TELE PMONE) 1 UNDERSTAaRZ
LeCtTuees,

\
: POUNDERS faut BUN TECH ICAL CONVERSATION ON ALL SUBJFCTS, Bote bane
"NEARLY Evtaytesns bo nean ON THe RALIG AND AT THF wQ¥TES, PLAYS

Late 6ACE* TOF ACE AnD ON THE TELEPHONE: 1
BATT, AeE LERTURES. INCLUDING MOST JOKES ANG

VEMSATION ON -NCABLY ALL SUBJECTS
es,

Oe TEN EAL ©
ST mT AT A WEAK 0% Tet RADIO AND AT THE mo

VouNDE@e rane
2. UNOERSFANS wet
PUNS. . .

y FOUNDFRS Pass STAHL YT ALL CONVERSATIGN GN TOPICS OF DAILY LIFE Ati T2S42L. BOTW FACE: TO-FACE AND ON THE TéeLe-
A OPMONED FP LOSF eer ARy MUCH OF WHAT 1 HEAR ON THE RADIO, AND aT THE WOES, PLOYS, AND LECTURES.

“Tei TELEPHONE: | UNUENSTAND SOME OF wHaT

| UNDEOS Tau. fel SimPL EST CONVERSATION, BOTH FACE? TOsFAck ang
iG BND AT THE MOwIES, PLAYS, ANG LECTURES,

rrr

ont ate ow ten ber

BEFORE CiwTIMUING - CHECK PART 11
PART ITI-EXPERIENCE AS TRANSLATOR OR INTERPRETER (55)

_

TEMCNTS APPLY.

82TH OF Tre eeeef ST

STATEMENTS APPLY.

NONE OF TH sarod

PART IV-CERTIFICATION

N CORTIFY fea! THE INFORMATION GIVEN ABOVE 1S TRUE AND ACCURATE FG THE BEST OF MY KNOWLEDGE AND DELIEF.
THES CERTIFICATI Um CONSTITUTES wY APPLICATION FOR A MAINTENANCE AWARS POT CIEE I AM-ELIGI@LE UNDER THE TEAMS OF
PEGULATION NG. 24-215. Pap, ICCA). 4 UNDERSTAND THAT 1 MUST PASS AN GOIECTIVE LANGUACE PROFICLENCY TEST SEFcRE i
BECGME ELIGIALE 645 fe RO. AND THAT IWRESPECTIVE OF THE DATE OF TESTING, ANNUAL MAINTENANCE AWARDS wiLi DE
“CUMULATIVE AS Of THE ANNIVERSARY DATE COMPLETING THIS FORM,

SHGNED STON ATURE

“Y , 5 abn nw a

2be


SECRET

pBhen Balled bey

prety

Topay's GATE

_ [INANE No PROFICIENCY

t IN ANY RORLIGN LANGUAGE

PART | I-LANGUAGE ELEMENTS

SECTION AL. Remtiny (49)

1 CAN ROAD TEXTS OF ANY OLVF ICULTY, OF & GENEHAL NATURE UR IN FIELDS 1 aM CAMEL TAG BEIM. USING THE DICTIONARY
“ONLY RARELY, a oO . r

1 CAN READ TEATS UF MOST GRADES OF DIFFTCUL EY, OF A ClubBal NATURE GROIN FIERDS 1 aN FAMILIAR @ LTH. USING THE

DICTIONARY OCCASIONALLY.

} CAN READ TEXTS OF AVERAGE OLS ICULT? .(newepapers, reference materiata, @fo. 3. USING THE QECTICNARY

FREQUENTLY.

Ady FREQUENTLY.

1 CAN READ SIMPLE TEXTS. SUCH AS STRELT SIGNS, NLWEPAPEO HEADLINES, E1T,. USING OME DICT

Cy | HAVE ND READING AGILITY IX THE LANGUAG

SECTION B. Writing (41)

a

1 CAN WRITE PERSONAL LETTERS AND SIMILAR MASENIAL WITH COMPLETE SUCCESS BITHCUT USING THE DICTIONARY. 1 CAN
WRITE FACTUAL NAPRAFIVE AND EXPOSITORY UATIAEAL WITH ALAS OUALLC CLARITY, BET VERY FRE GAAMMATICAL ENGORS, IN

NATIVE STYLE, USING THE DICTIONARY Oniy BARELY,

1 CAN MRETE PERSONAL LETTERS AND SIMILAR SIMPLE MATEO SL wit COMPLETE SUCCESS. USING Taf DICTIONARY ONLY
1 CAN @tTE FACTUAL NARRATIVE ASU CAPUSITON® WATEMEAL WET REASONABLE CLARITY, mETH FLW GRAMMATICAL

STYLE meter MAY NOT BE NATIVE, USEING Fal GICTIONARY OCTASTONALLY,

MARELY.
ERRORS,

BuT IN A

1 CAN WATTE PEASOHAL LETTERS AND SIMILAR SIMPLE WATEDJ AL, SITH REASONABLE SUCULIS IN CONVEYING MY MEANING,
3. GUT WITH OCCASIONAL MINOR GRAMMATICAL EQASRS AND $% OBVIOUSLY FOREIGN, ABABARD STYLE, UAING THE DICTIONARY

GCCASIONALLY.

4. 1 Cam WRITE PERSONAL LETTERS AND SIMILAR SEMPLE WATFAE AL, BLTM REASONABLE SUCCESS IN CONVEYING Wr MEANING,
BUT WITH MANY GWAMMATICAL FARORS AND If A VERY FONEIGN, AMKMARO STYLE. USING THE DICTIONARY FREQUENTLY.

G 1 CAMNOT WRITE [i THE LANGUAGE.

SECTION C. Pronunciation (42)

1. MY PRONUNCIATION 19 HATIVE.

@ WHILE NATIVES CON DETECT AN ACCENT th My PRONUNCEATION Fury HAVE NO OTF FICUL EY UNDEMSTANDING WE,

FOR NATIVES TO UNDG AST AND.

2. MY PRONUNCIATION 15 OGVIOUSLY FOREIGN, BT ONLY AAMFLY Causes OMe icur re

ee

19 OCCASIONALLY DIFFICULT FOR NATIVES FO UNDERSTAND.

4. MY PRONUNCIATION

TP MAVE MO SHELL IN. PRONUNCEATION.

COATIALE ON REVERSE SIDE

tere 4, G44C | mo SECRET ory)

{ #68 97


i a

CONTINUATION OF PART II-LANGUAGE ELEMENTS .
Speaking (43)

SECTION 9. .

PRLELY MNO PDP UMATECALE®

NOCTAL SITUAT HONE OT AON eh AOE

AND ACCUAAIECD TS ALL ROACTiCaL #
tb ob aM BR AMEL PAR,

. SPEAR FLOLS
tH ath Preves

epte on

VEeSt TN MUST FECL
Mi PRUVLRBR,

ANU ARCUT ALOE + Oh 8AM) BLE eee TiC aL aN SoUtaL Stow tious:
SAVINGS, LITER Ame yuur

1 SPEAN TanaNcys
ATM ache Coa PAM EC Dam AND BERL Ge

Lies ULT BOUTINE OuSIhE SON PARTICULC AS FItL os

bat

IN SESIATIONS OF

EAL

weutt

1 GET ALONG

Thagel,

anelt

COtuatiGns OF DATLY Laer

Couey

The

Moat

ALONG IN

Te art

Van AGE

Se DP MAVENS ABILETS Tu US! fer LANGUAGE IN

amv OF (ef AnOVE RES®ECTS,

PLAYS, AND LECTUBES,

ON Int BADIO ANG AT THE MorECS,

UNDERSTAND NUNS TECHNICAL CONTEMSATION O8 WEAHLY ALL SUBJECTS, DUTH FACE POOP AGE AnD OM IME. TLURPHONE! |
OF wtAt TPA ON PHE HADID AG AT Tet MOVIES, PLAYS, AND LECTURES. ISCLUDING MOST JOKES AND

It
UNDERSTAND MOST
PUNS,

TT OUNOERSTAND NPARLY ALL CONVIMRATION 9% FOPRIC® GF DAILY LEEK AND SRAVUL, HOM FACE? fo Face AND ON THE TELLS
Tet #ADIO, AND AY THE MOYIPS, PLAYS, AND LECTURES.

Fo mnote 1 UNDERSTAND GUCH OF AT 1 MEA OM

UNDONSTANU SONL OF sHat

GNIFCASTAND Trek SIMPLEST CONVERSATION, 69% FALL? TOOFACE ANO ON THE TELE PONE of
HEAR ON tet SADT AND AT Sieh MOVELS, Fi aee, AND LECTURES, —

AM NOT BOLE TO UNOEASTAND THE SPOKE Lancuant.

BEFORE CONTINUING - CHECK PART 11 TO ENSURE THAT YOU HAYE CIRCLED ONE RUMSER PLR SECTION,

PART IVI-EXPERIENCE AS TRANSLATOR OR INTERPRETER (85)

LENCE AS A TRANSLATOR.

HAVE Hao ‘ENP E

PART 1V-CERTIFICATION

1 CERTIFY Tit The INFORMATION GIVEN ABCVE 39 TRU ARO ACCURATE TO THE At3T OF wy ANQOLEOGE AND OfciEr.
THES CERTIFICATION CONSTIIUTOS MY APPLICATION $08 A MAINIFNANCE AWARD PROVIDIO ft au FLIGHOLE UNDER THe TERMS OF
REGULATION MO. FS0013. Paw, CEA). fF UNDERSTAND THAT § wUST PASS AN QQUECEIVE LANGUAGE PROFICIENCY TEST BEFORE t
BECOME ELIGI OLE FOR AN AWARD, AND THAT INRESPECTIVE Of THE DATE OF TESTING, ANNUAL HAINTEH ANCE AGAROS wILe Ot
CUMULATIVE AS OF Twi ANNIVERSARY DATE OF COMPLETING THIS FORM,

OaTk 31tHLD St Gnariny

27 Hey /$E/

nearer! .


14-90000

“PART 1-GENERAL

a,
A CLOT FirateWiddley UPe dan

MAKL

VOWAVE NO PHOFICTENCY
IN ANY FOREIGN LANGUARE

NATURE OR IN FIELDS 1 aM Famigiag BETS, SIN

AuY DIFFICULTY, 98 a GrapRaL

1 Cay atan tears oF
Toney aaneuy,

NURAL NATUPF 9R IN Fittes 1 aw FAMIQTAR Wit) UStNG ree

' Cam 9¢a0 Thats os Most GHADES CF bIrficuLiY, ob ag
DICTIONARY OCCA FONALLY,

Glee). USING tHe Clete

DIFFICULTY Coemipopers, Felteronie maroriats,

THNTS OF aviHacE

| Cam ROAD
2 perguEnsey,

SIGNS, NewsParen MLADLENUS, FTC.. using re OrCrrasagy FREQUENTLY,

4.01 CAN Phao Simei TEATS, SUCH 45 StHfir

1 WAVE NO READING AnILGTY in THE & eGrAGE,

SECTION 8. Writing (41)
_—__

1 Ca mart PresomaL Lereees AND SIMIC AQ wartatatl win COMPLETE sucCEs4® witnour USING Tre OleTIONAGY. = Can
Ye @tTE Baetuay MABEATEVE ANG EXPOSITONG MATE AL Ait REASOWANLE CLARITY, wit very Few Gawwartcat farorg, th

NATIVE STrOn. USING THE OICTIONARY ONLY RaRiLy,
a pee

S CAm BRITC PERSONAL LETHERS AN SIMILAR SIMPLE WATEREAL etry COMPLETE SUCCESS, USING Ine OICTtoNaRY oNcY
2. FARE. 8 CaN watt FACTUAL WANRATIYE AnD UNPOSETONY WATERTAL WI fa MEASONANLE CLARITY. wite TOm GRaAWMATICAL

CPRORS, Bur IN & StYLE atic MAT OMOT BL NATIVE. USING THE DICTIONARY OCCASIONALLY.

$ Cam GAITE PERSOHAL Lerreas AMO SIMILA® stuPte VATERTAL, wits REASONABLE SUCCESS IN CONVEYING wy MEANING,
OICTIONARY

BUT WITH OCCASIONAL winon GRAMMATICAL UMAORS AND IN COVIGUSLY FOREION, A@KmARD STYLE. USING Tf

GCC ASTONAiLY

5 CAN @QITE PCASONAL KPrtems ano SIMIC AD SIMPLE wartat OITN REASONAMLE SUCCESS IN CONVEYING wy WEANING,
tHe QUENTUY,

SUT Wite Many Gaawuaricay gan Tet GIT TOs any

Le) 1 Cannot warte om tur Lansuacc,

SECTION ¢. Premaciation (42)

native,

1. 4¥ Peonuactarroy 4

COTEGT am Attias in te PRONUNCEATION Inf mage NO OIFEICUL TY UNSUBSTANDING we,

ie Cteneneneeeen ee
<r

PORE Teme Or Usty mARTLY CAUSTS DIFC ICULTY FOR NATives To USEL@srano,

wha Ca

Mr PaonUsciation 1% coviay

Mr PeuNEMC EAT EGS 1S DEAS ONai SlericuLt toe yar

WS FOREN ATION.

Pare?

6 nave 8a

GAS AnD In & VERY FOaEDEN, AORWARO STYLE, USING


14-00000

CONTINUATIGN OF PART II-LARGUAGE ELEMENTS

Speaking (43)

SECTION OD.

PSR Rae FLU ra tl 6 AN BT OUBATEY ON BLL PRACTIOSC 26 GUL PAL SETUATECNS! 1 CONYEOGE SELLS bul Ry ECUAT EAL?

' TN MLE FESLUS @ te wets 1 AM FAM L oR,

‘eet ist th wot PIFL ED

SLL PPOLTI CAL bWl SUCTAL STTUALIONS: oT Laat

DME POPUL ate (os, LEEWAY GUUTATIONS. Atay Cues Paes

(o4rtae bansntet es
mite merce pops pau tet an nt

aneuraliie

re PAPTICULMe FIFL US |

MEUGT ROUTINE fr toe

We GE ALU LSTA WEL Pe EU ATI ONS OF DAIL LIPT bot trae AND CAM

THAVEL,

3h DAILY LIER aS

Ti tuat ines

Tee

LOM

woot

bauer 95 eons

stan

3 :
PACE TO+ Fale AND O% THE FFUS PHONE Ss 1 uth

alt fu ing te

eo teste TEC EG AL COMVEMLAT EO
etebet po mba Ot Tet RADI AM aF THE wy rtd ht, PAYS, AND CEC TUNE

FP oUNLe eS fae
NEAULY fof

TOFAGE Aut Ge tht TELEPHONED OF

bo ysutestaay a PORTO AL GONTERSATION OM BEAL? SLL SUBTILIS, BOTH FAC
UNUERS any MOST UF med FLAN ON CE PADIG Ot AT Tek UUVEES, PLAYS, AND LECTURES, (ANIL EEG “OOF JONES AnD

PuNS., ” .

Ce a
oly,

=

WE APLE ALL CUMVLNGATION 0% TOPIES GE BATE LIVE AMD TRAVEL, HOD Fact Fo
t OF WHAT | mPa Su Tun baie Sits AC Tk MOVEFS, PLAYS. AND LEZ?!

3 1 Un ot ee
"Pe Gnte Fy Esta we,

$5 Ob UNEP ST AO SoML OF anal

Tage PG 0 8ed ano GN tan TOLER MON

Tat SIVPLO ST COMVENSATION, Hote
BU VEL TUIS,

WELT Bets AS THE MOGIEG, Plat

ousGi esis
abate oe

FE SPORLM Lan aeE,

19 wROFestany

sunGt dif

STIG.

WAVE MAO ELPEMIENCE 2% & TRANSLATON,

INTEUPALTEM,

fas an

AD CFP wEES

PART IV-CERTIFICATION

(NP ORMATION GIVEN AGGYE 15 SUE ANG ACCURATE TO THE BEST OF MY am GeL EOE and BLLIEF.
TUTES ay APPLICATION FOR A WAINTENANEE A@ARD PROVIOFO | AM FLIGIACE GiuGtR fet ThAMS OF
ROGUL ATION no, 29° 10$. Pam, CCA. 1 UNDERS TANS THAT ( wuST PASS AM OBJECTIVE LANGUALE PRLFICI£ncy TEST BEFORE I
OFCOME ELIGISLE FOR AM AMANO, AND THAT IHMESPECTIVE OF teh GATE GF TESTING, ANNUAL MAINTEQBAZE BeARHS wile GL
CUMULATIVE 45 GF ImE Amn EVERGARY DATE OF COMPLETING ImdS FRM,

b COntine teat tot
THES CERTIRICATIGN ChNST

SE CMATIRE

OATE SIGHED

2? MOV: /9b7


14-0000

SS Ea ane nL ree

Me ct anne Ae henner ees ate

CO MwOT Use Tei, arace

PERSONAL HISTORY STATEMENT

LE. Answer all questions completely ut check appropriate bos, if question is not apahcable, write "NAS, Write *Un-
known® only af you de nut kauw the answer and at cannet be aitained from personal records, Use dhatk space at

end of form for eatea details on any questiua fue which you have inpufficient space. ”

2. Type, print or write carefully; stlegible of sncomplete forms #11} nut teceive Cons ideratuion,

Your signature atthe end of thas form will certily to their comectness,

Careful
ations ty the best advantage. :

3. Consider your anawers carefully.
completion of all applicable questions will permit reviews of your qualific

Ral | PERSONAL AMO PHYSICAL DATA

@ TSECTION:
TV FUCL NAGE Lael Pires tienfian z SaannaanT IC teaioemianianl
Wazoyales, ero agler Andrew : N35
me See e cowPcceiaN + TVePe GUO

“Ta CoUGn OF eves. aie COLOS SF ware

: to. 4
Sfb cing 2. Loat nacel i bev | putty Lc tocicy
wmerveeaith.

1, OTmen DIST ING TIMING Puryican FERTUGES

. PEMMANCNT ASOSEDS VG, Diteal, Gly, done, Slate aad
Country) AND PHN Mid. oe

Rats Valloy %r.. Alox.: Va.
Te 63218

mn) LOGEL MESIORNCE ‘incin, Pears

ary Oe Caney)

te MICRWAWES Th Gwen nuns VOU A ve Pir)

PDS 6 LEO RIAs

1%, ThoICATe Cracumstanced ‘haclinding Londih of Tine! UNOER wala (GV ANGE CCER G3ED THEI AMES,

ghildnood nisin XE]! 5c 19 ALI >

TP erty CHANGE, GCivd YA and ay dhat Aatharity;

Position OaTa so. + eee 7

Lag,

SECTION tt

ZWMOICATE THe Lieeit annuaw ENTRANCE BAL ANT VOU
ASSERT [Nias will nee be comer seared 191 any imei with « low
aniraice salary). 5

3. INDICATE YOUM WILLINGNESS PO ACCEPT T anigewea?” Im Tae PCULOminG LGCATIOND (Check (X) worm lem app

P WASHINGTON. 0.0. tasvnnerg ins.) CREAT A LOS
SO OT OE nena gin ut! ry

Our OK COnFine TAL A _
6. INDICATE WHAT AESEAVATIONS YOU GOULD P Place ‘ON AssGnwenT

MASS»

2 SUTSIOR THE waSHINGTON, OC. AREA.


14-0000

SECTION I
WORT Cor gate PP PARENT Cititansni® iCouiny

Pr ses Cicret ttre ey

So ewan Specites:

7, COURT ISSUING NATUNBUEOTiON ©

a a rc
DutNariOnauere 10.07 VES, Give shME Of COUMTE
1 ts

wh POE OUR MOTIONALIC’.

10 cwance 1S. Iva PANTICULAGS
NA

1B PMEIENT STATUS OF 1Gcm BHP LIGRTION (Firel Papere,

12. Mava roy ft
Eid? ,

16. 17 YOU WAVE APPLING Pol
’ .
57, Sm PassPORT OF WHAT COUNTRY

. it . Mi cite

COINS FD WOME ORAMER

[APanveare arune

1 wesrens caaoce !nocroa-s otsmce

, AOOMRGD (City, Stare, Coumirys

5 eran’, Marenpas: 5
Sh f .

4. GAeQUATE

J. HIGH SCHOOL
a
99 (Ciiy, teare, Cmmneeyy

de cee an,
(MAME OF HIGH SCHOOL . l zr. a0

Moneanisnm. wy

Central Hivh
2 Cm aLATE

3. OATES ATTENDED (From end-Toy

| 2. ACORESE (City, Stare, Soumisy)

2. Oat ES ATTENOKO (Fmomend Fo) A. taetuata | :
: | vee Two -

4, COLLEGE OA UNIVERSITY $TUOT
. Oares arreaces

. PUBIECT
MAME AND LOCATION OF COLLAS§ OR UnivensITY
Mason! minge

SECTION IV CONT.


I oes te Me, 1

verge ces

a
MESIS AND YG

j MONTHS

ZEO SCHOOLS SUCH aS ORONANCE,
LUSTUON OR SPECALIZA

wh ESS LN

GN GOUCATIONAL TRAINING NOT iNQecar

®or

FOREIGN LANGUAGE ABILITIES

ComPSTENCE . IN ORDER LISTED
(Reed, w $-Soeok

qe

a oe
(coNTactiacacenid

j aueNr ADT QVATE! ADEQUATE
Lae} 2 ‘ for "oO? Natiw
Peoticlency 19 Kein. Wrste or native | SS2sySe ere 24 tenn” | Stuy
COUNTaY

PLUENCY

Speak dy placing @ check (Xb
I the eppraprtaie seei

eserisy [Reseaacnl graven

’
i

Im YOU Nava INDICATED SLUENCT PO
PLAIN TOUR COMPETENCE TRER EIN,

;
!

=
SOAS IO UMING VOC ANUC ARIES AND TEOm SST
- AND OTREN SPECIALIZEO Mieca,

OESCAISd YOUR AB LITY TO 00 Wwe cacy
TIPIC, ENQIN@ BRING, TELE COMMUNIC ATID

NA

OFIGIENCY IN GaNae

iF YOU WAVE NOTED & PR
YOu MiJu?r OS SELECTED

— ves


1400000

Sea mtn e .

e SECTION ve
. a
: (UT Ofi cw Aue ne nige me ciaNt 90 comm es im weer oY wave tmay “MOMLOOGE 448 OFRULT OF .
. “ReNidewe er, gente 24 woe “Adin ro MUTATE Femn OF amCeceoue MAPUUMS, UTILITIES, MAIL.
NQUBTROES, POLITICAL Panties, EF :
SS — nee aoe
7 i 7 FNDeLEOCE
- a ° pee EC ue
MAWE OF | t or prscente ! O4ras ano 4 ;
MEDION C8 CouNrTAy Praclacized nNOWLeOZE ; o8 Tmaver | PLACE OF Stuny !

F Istueo. :

- AL Pauly 19489 ;

. ee
3 Pass°ORF NUMER AMD Se lepationw Cate,

#YEIO5 Teas

1. UMITEO star
Special Pagsrort

SECTION Vit . TYPING AND STENOGRAPHIC SKILUS
ING APO STENOGRAPHIC SKILES
« TYPING lepers | te gMoe Pram lwp <3 ee OM THAND SHIT EM USED. CHOCK 4) APP Ow mare ITE
. anita i a } Tee
MAT ors antes [ eancanting | lerenatime T lation

@ (Comrpiomeer,

4 fw MAGE HBG OPRHATING EXPERIENCE OD Tear

a. INDICATE Ofmad” Dutness MACHINES atm
Mimeogreph, Cara Pincm, Lee,

SECTION Viir

thei ns 206 tball.

ice hocigy, <

|
SAT FIT 6OU PCR

T.INOtcaTe ANY 12 SUA RIFICA TIONG wasn e ny wea BE MPEMIENCH GM TRAINING @miea
PARTICULAR POSITION OR TrPE oe worn, :

~ All types of PAOSOSrapAy wer: aad’ lab work |

LIST ane SP€ciaL
AGE BAD Foden
“ices.

Mat wave widreg invite ?, $2e°
2 MACHINES $UC4 83 OPE MATION GP

a. 24CL GONG BU 33 EQUIPUENT OF MACHINES
T LATE, SCIENTIFIC AND PROFEsBS

Sareus weeds BESS PEL ATING TO OTMER Qu moe
cate CW oped, sendmg and secerving), QP PSET PRESS. 7

_ Ozalid sacn, automatic shstostas. recordax ecuipaed all types
of vhoto lab e ipmeot inclu 25 Still and Sevion siccure
caneras, : Ly ‘


14-0000

Se nner cnet ete ml Tene eek Oe Sem St chee ee a 2 SO ne i as tates eee oes coer cay tw

cM ed PiLoF,

ry
at he et,

at 1s Laconea Nagiettp

STATE IS$0ING MICE NS

Pr Caresr icense OO Cearinrcate (Veer of lavcmt
' .

' M4
eG UA TER TALS OF WISN TOO EWE TE en ——-—
GMATERIALS GF an a Le 2 OF pubes co: ir '

tom of Serentitic artictee, General intere

$7 ANY SONOS
‘ag tir

‘ Phot: ia ourice up Concernin:; the

‘Eaile Selassie of StalLozia, whieh appeured in Live Lage 11-2U=55,
Also asszv. Jol Jona 3, Townsend U.S... fo the rreperavion of hig
Parer during nis. atseadance at the ely gnrES bag ‘7ollese.¢g.

a ne, hte
© anit TOU RAGE INGENTED BNO STATE METHRR OR NOS TREY Ane PAT

ilver Judliua 2

TRAE PUGLIC IP@Aarwa BRD PUBLIC RECATIONT GxPamence.
=

Viag bretfiars te all wi perscnolil soins to Etkiooia from
1555 to POI3¢at, at tag adlitary, Institute arl. Towers Va,

—_——. F HQUDOAMT BSIOCIATIONT OW IOCTN TT eee a
VUtwa) aces ZR MOUDAA@T BS40CIA TIONS OM SOCIN TICS I WmGm Gu ARE NSe OR ORE PONMERLT
CAV EMT HONGRS FOU Nave ANC OIVED. . .

o SECTION 1x - EMPLOYMENT HISTORY 4
: BSS ee Shinty oF no
: MOTES UST LAST POLIT ICE FICST) indicate chen cal Mistury of employment tor Fat ls yea: Account foe all partied

Oo unemplaymen: Giveadcrosa S14 ifalte what you ha Turing peticdsol
Completing stem 9, * De
ements,

ENChuding caenal meptoprene and ail peers
werployment, Liat a cIvihan ampioyment by a Joraiin Gavemmint, ren: fleas Of tater,
aeription of Dulian® cemasder your eajatience caretully and provides Mevningtul, adjective

¢ NAME OF EMPL ving FIRM OD ATEN

pM AA eS.vE SATE Pra ena Fone i oer vp

rod 2-25-41 to
STONES V0., Sireee, Crip, Siw:
~~

[*
ee lver Va
roses 1-7 ee
a ted of BUsInes: i 3. NAME oF SUPER VisoAR

| c.3.A. | Gol Anzely Fella
LY OH.
’ - {a Tere oF Jo8 P SALARY OR Eapnincs 18. cLass. SOADE SN Fegera! Service)
uf chotoxrach "723 ‘fees ho. | LYSze. S.A.

& sac uP TON OF GurieDd

FRotosrapay all Sypes of lab #0>% ror asst. Gihef of Stare Intell

1B STAINS FOR Cea vind

aesireing fros active gd wy F7-51=61


14200000 . OT : ,

a eee

SECTIGN &

Ut shavice cuassie 1 sen

nee voy ew
tug

sen
1F OOP Ew Ets, 5-58 BE AtON

pore

“eoatr wea x Mast! watinuac arnae
+ Sune > mamma GM4ay | Gusny

CutCK far ae
apeworaiate

navd Sestze

MOO SER sine me

£22 Ut £8 Iscell,

teem ae 2S
Bee ne OF EET EN DED al tise® OUTY Iw US. aaNED
PORCES (Peet and curtent ”

art
sata

3. OATE euveses - Pasty Seavice
iS -

& For al Cenara OF active OUT? im Fumean mT AaY OR
tive sure SANITATION

ane = a,
7. BANK, Geact le 7 a5r stavicg
RATE .

“OSENVICE, SERIAL O85 FILE NUMEE Tf mow sarving, preude cum

tfentn ? RA L 2OLEG SG dé. 2

[eoneext ten

Boar sEmsice

0. ORIEW Ota e rion Ce witaey 3,

smn

piovograzpt

12, CoETS If) 2198 50 SEPARATION Fa9u ACTIVE DUTY

| MONCOAALE Dac ms noe +e:
ELGASt 22 wsl-ive OUTT

a a pe ~~ oe renee
TAR TIREwREs Foe ce "Fase z & omannire td H -
a a ne

STOPONENT IN AnICH vO" SEAVCO . °
SE ae ae oe oa

Tf Qtaga tintining allt)
——_—___.

Rtouta@ i. s¢senve Cinctodme
1 tre.
1, MitsToPy SELEs rE, MATION AL Guaro ano 0 Rote status

b-
: ng ne
. . - 1. CO VON ws a veer 436 Tee! OUND] A wsugER ont 1 ves
Reserva 2.78 8 ee? tra aoe! be ee

a er)
4 1D) WAVE ANSEEIED “vES* 7D TERS LD OB), “‘soove, VENECK COmPOweNT MEwdEAtaIP BELOW

CAPR PUTS Caress

TNU Me

te amor aor’ ij MW FOaCE aorG: :

a ROE ee a nnn

DAP e CF Oey tee wy in CUROENT [88 ENPIAATION DATE OF CuPDEGT RESERVE Od4ig A:
TIO

tase,
STAMOS inetiees)  TaEtieed

2at. POE OR

¥ WILITARY OCCUPATIONAL SHECIALT ¥ (Moe of De

AVION AG SPBcran s+ (ane ae LD #10. SECONDS

%. Pamasy wir awe 3.
matory AND Te

Wh ARE VOU CUS 2C ere a$5siGne 5a 8 atees rts” SO OU NAVE AMS@EDESD “VES TO ITEM IZ, GIvk UNIT OR BoaNcy
TOA QUSZOsf. war. GUARD OF ROSE CBB le anO ADORESS : .
ing uwT 2 92

"Ch. Go vou wave AMNSHEMEO “VES TO FTES, Give UNIT Om aseece

——_ awd Alomets

1h NAVE VOU A SP BBY MOGILIZATION BtLite
MENTE

St OUR SERVICE PECOMOS ME
Ondoral ori

ING ACTIVE


14-5000

a BERN TN LO em ee ns pt alte tee ee

wee mk en, nates ces ey

FINANCIAL STATUS e

ant
wavs Sas’

“Na tempat s
an8 .noSKes

Ce

VEL Sle PARIS INCLU SING,

Cleeee Bes Sate

ace CO
© GIVE Tuna ca SENCES Im fue wren UT Am Ey - 7G
ied : SSS VELS Naw Freer, Cory, tesa}

- ne

Nie vou aes
AST. PENSION 38 Couey

BF YOGA ANGORA AS”

Mee UNITRO STATES O@ BISTee
FOP Mut ae OU NAVAL SEaviC

$e emo

Retirement fron tne Vaisei stage

RSS yOu NAVE GNe fivaNcial oo RDO SE In OA OFFIC J § SSOSSRATIONS Da GUbimedEL OA IN
SA SEPM US COD SORT Su Soe FS ESSE S WAVING bUD rer Eoesr ey . :

Tas Ta no

momar YNSS Damied forgity om separate pAaes,)

SECTION XH
i a nee re ne
A. PRESENT STATUS (Se

SRT ATE OATS. PLACE, ANS wee

hed wove than save » wnctuling annuineaiw » Goo U WO NN ao:

WIFELHUSRAND Ef rou hase iunen-munied tere than om AAG + SRO BENE

ON FUANCE: Ruched gsy, A resuiredt below for all peevions mares Mf trannage 225!
ee ne ee
S Neue Warden) Cmeer . i ‘
Siinabeth fucka i :
SO SATE ANY OTmEa Neuss Cee uD) more ate cease CED As edeng tongs rt
_ ~ Toth OF THEAE WAUES ERE CD. OF LR Ge. Teak Gee sericueans |
. (Aere ora a4 wear suthove ry. V3E RETOR ORT E POS OLED ON PATE Ie :
dimples OF Pred fas ORES HD Peis ine SED :
ane an ae a

ate Cunt

SCO 7 ee

dipmet, Cite. State, Conntey)

ite eee
Cause SF Seat

ae

‘ . :

“:

Va, SVM ENT ROORKEE Gree lees mnneras

Jae
ry a
2 S Bia 5
PAS LALE GF Bia m Ge, Siig CRAY > The Cet Len tae
i Sorce.ter, . : 723 i
aa


14.0000 +

. - ta.

arse

“TIN
Pace oF antay

Popes wUTWOe US. Ose OF Eutar

Tee tumor emmpiay ee ue il ape
4

19. 9C6u
House:

reepleee

re
wl

2 Niare, Comme

e
a
see
Or gain, cite syonter
a ;
7 . ro +. 4: ee eee
1-50-G0 wash 9 :
- i
°
can | ; 4A.
har | [)-Jo<5 Sa ses cer id
; os i :
! =
|
: 2ouwden DL MUMGER OF OF new DER OSE EE dachaling émensoe,
chrhdern wed oF Barents. sreremerens ben, BAIRD SH
- pause 100 Pow at Ve ate tenes tieszan an 1
and 44 OSEP POMC, CHIL GAN OWEe vey wu) ae
ween : ¢ & . Pere er res .
° SECTICN “7 “FATHER (Give seme intamatioa, dae Steptatne: and of Gaetan ona 3 fate vbert: e
1, PULG Mawe Leet Firertidtie) | Pre ONy 4. Cautn UF oeatN
Mowerrte 1@ ae TT TLL.
VS aegere Scar) a a pennen TLL
9. STATE Dork mae sme AS IAD Tinmicara crecuusrasces tinelaaine fergun OF IO? NDR OC nd Ae

Bill FObee CV0R USED THe sa Ne PLE SEL Crane, Tv e PARTICULARS (e*.
vo an. * | and by whet aviberitrh Vik DATOS SPACE PHD GIOED OF FASE IS UP TS

prory ra SLL Lah oO

oy Cenirey

ecu

wa
aT.
 Oatace

1-11 H85-

y Storm Coamice)

“Sn

10. 9F Gam SeINGE Ub, OATE OF KNTAE x —

$O, wee SCQUITED (Cele. Stole, Cormier)

crrire

1a. PoRwen errrerensty Cmmiertieas”
acauinso t

Pnaient Ees.geag &

_j ma

VE, CUPLGIG aS SyeNESE MOORES OF PAT HENS DuhlNEDS &

o) 6 ee

TO OATER OF MRITARE PRO CE [Premane-S. { anc OF BE AVEC®

. vee
—a ba
OF, OTF AILS CH OF HER GIVEN ENT SEM FICE, Vt. Oe POeEIIN

Ube Pe REL PRM PL FAD

Soir

ramrcons2s


YaIO0D = tet

gies pecs wee ete os een eee

° SECTION AW °
ner tn wt mete
1 PUR NAME Leer mren
Just
ore Torega orerny ae mae veo o
\ ery. te LR Ce oe VE UL RAAT
NA fh UNE Hatee eece 2m PANE ROP ey
° fete me Oma ON,
@. CURRENT ADUOHES > GIVE CEST ROMMEST, IF ores Tivo. Street,
tee . tase a
Pe RRCOrEY ET Io FOF] _ Oe a ——— +. .
P. Oati ce aratn SE CP OAT HICitn. Siete, Comin) CITIER Se
. A's
15965 cugtria Pavers dust _ Sr
16, 0F ogas Ouro u.
Yo ljle
[la Pomme es Cite ews Commenreny” Ty ACQUIRED flier,
Seve . - | .
. akstoka ton a . :
19, OCCURATION - 10, PORSENT EVOL DONG (Clive lool emplor
: Housewlf MA a
ec one i rn
LEV GuPCOvan's OUsINGID AGUREDS OW MOPAEM DS DUDINEID AQOREDD IF DELP werLored. .
. . —--—. _ a =
. 18. OATES OF WLITAAY SERVICE (Fromant Far 18, GRANCH He TEA VICE couNTay ~ ah
7 are .
NA . 4 . 1! .
ee 2b. DETAILS OF OT MER COV ERNMENT BARVICG, U3, OF PORGION . . : ;
HH : : .
a SECTION XVI oh Mra ihere ands Rieteres Ld
Moe me we : f PUCG NAMe (Leer e irerm AELATIOnMae_ .. 2 CHT RBA iComiry) i
- : ie
' | a enS ER)
Lye CUNAENT ADH MESS (MO, Sree Cup, Lone, State, Country) |
Syin 1D Shap A Be needa oF '
POLL NANG (Lage Marat Alario) cH MEL ainsi
Senslalers. la 22e
[4 Cusaenr aonages (ny
bee . LOURG NaMe (Caer P erg Widales a pee AER ATI Cm 13. COPa LR bere i Commmires tS .
: . “ag eh: uta.
if “psarten | pon, LIA
7 biving age
Tees f twa
t CLAP iontwie
i : 1
pe
p 8 CURL IME ADDRESS (Vu, Sire), Civ, Same, Slave, Cormiry)
}* FOUR Nawe Firat eadin} hae aromsae pd Cite gee Comey
8 a a cm iene cee
| & CURRENT ADORESS C0, Street, City, cine, Mare, Cuamiry} 8. kivind
——
| Teer Tae |
FUNG NAME (heer? user Middies RELATIONS MD
re a
| & CURRENT A008 639 (0, Stover Cire, Lone, Siete, Cammy)
fh Puen Naum (Leet Fer Massie, % Mb aTom sie
1d. MELA On inre CrP gem pele (Commins .
tiene I aa
. bre en TN
eee . tee oe SOF


400000

|

mde md ee eth ae nen ene

yg vroene
“EDD ae
TEL af

420,

1Y PearIC Lees lehee

FTO PALE PRO COTD ON Cage EMEP Tee
wea tian,

ae
COUD fot eee,

CUMACNE G2 Lede
a6 wee, Tt
32 whe

“— | LZ CURLER a fom

: "OLA

a }

Ot ee
ree lGis de

LA

+ POAMER Hifi te agminigy CCmmier

+h PecheriniLaw 10 feeesed oF momplaped)

19, OCCUPATION Te ee
retired . po. ai

ction xvii

MOTHER.IN. -LAe

ne a ee ne a a pe
Megaley

ea.4 eroulen

Per err eera ey

IV PARTICUL ADL! More
PROVIDEO ON Ag HA OF THe

ec as
tay

(Cun, Siete, Coumiryy,

Hlaracy,Lzo

+ Puacd oF antar

%, Oargtor
Lon

Aa 261598 bet
OF naan Our ies 4.30" Gale UF Rutae

: Ve aon
1911 a 92862, 5550 _
re FOMMER CiTtEda: ray a Corereryes Cd CATE Ge ia siete 26 QUINE OI GHY, Stale. Counters
aan QD, H
ay i femaneea wo,
Irelasd ees ae — 1 _tsreccter, t —— -
: peat bm tive boat vnpingan WF Meroe die or mmomplopedy

18 OCCUPA Trion

as

FECTION 41K RELATIVES 37 BL, wadIAGE OR BDGPEIQ we BITME iy LIVE ABROAD,
haga (2) AWE MOT sy 5. Citas OR OHO POP A EEG COV ERNMENT

Deeatssh Fete

Vo owe Batt le Oar AGE

G CirrEC tare Co aery,

oP est aernster

er | ee

al co hee a rey S$. Cw Pr seed ay

4. GOREN 38

t 6. OTR OF VART COnfacr

Ot se CUNT

3. €ur.oeeau¢

@ OA7€ OF Vasr Comfacr

7 peerteo ce Cuetacr

§. euPLoreaor

Osré Of Lager cunracr

a ciurige


1400000

eke ee hee ets Og ye dees cee pom mem eo ee oe Te Lette eine ak ab cole ce The. a ar ae

Se Steere Oe SE Pe PAE
et ean
4. UPRCIAL wemaarg iP ar, COMCe AMIN PPL MTNEES UTED Iw NOC THD4 ee ANOVE,

; RELATIVES BY BLOOD, maPmiace OR ADNPTION m4) APT IN ThE MILITARY 02 CIV
e kh
_— SECTION XX / SERVICE OF THE UMITEU STATES

t Mawe Leone

7 ie Maha serie ang
7 > Pecseral Avia
“ Awe De Fen. Teac: Beauly: lo

'f. apogee,

4U4l Sedolek.,

I" MAME ULeet-Piveraiadioy

etre ener af nn ee nen
t, City, Sait Counter) OTV0E Rao LacATION aa Service (i moan)

- .
—

33044, 8

© | SECTION xal

‘S. QIbT 8148 Cranac

FCRENCES, ACQUAINTAICES, AND CIERBORS

Te ATONESS
fy aed State)

HAUL
(haei'Peat siddte;

blaj.Gea.

i?
Coton aa oo

Alfred tAsenstacit i; sito ree ¢

. | Post orfice Dante

. : HiIfan orciucst bre D.ce eee ones E
: i 3300. Heoragsa Maite
aiwand Cuocsey | tae: .
Janes Anson | ‘| 322 ©
2. LIT wivg PERGoNS, IM THe U wD Na Lagat Dalle. HOF a Garreay SUP Eee

Mage | GUTINESS ADOMESS
{haert-Piret-Miditte) . | %, City and Srates

Alfred. Sigeasrades.
dward: Sieeney _:

Jf. iiles irons.

Jono 2eyes 2
Charles Gulluat: | 2 Joazticutlos AVee Garnes Jr.

—lenvaan

RECENT NOAMAL AESIOENCE IM Pe U5.
a en

enn OER #3 Oto Je5.
DUST THREE NeIGHOORS aT ¢oua
A

neue Susiness AncRESS | RESIZENCE ADDRESS
(hear-Prratwiddiey (Ma. Street, City and Sete) . { ftMo., Street, City ond Stated
[a

5246 | Yad. Ley UDe

Moe Gordon Tooney

wa les ar) Bohonstratt
-fitr. Leland Farchurst.


14-0000

"vate ee a Cee ena  an t ate Saeenennh ea micte - ae aN aN eh a cemnmaee , ;
‘ \ a? i : . . . ;
e CLUBS 's9CrtE B OPGANI TATIONS °-: i
Ta sae Tt .
wd aesses uf ell clube, fONUELOS, Peete aaional ven ceties, etplupee MPOUE OF CrQamitations of any bind : 3
(nehate memyetanip in, o¢ Support of, any cegarirstion Ravi head guatiery ce Sranch 1 8 lorena’ eemry) tu ehich you 1 5
wbelong of have belonged §
ne ee ee . :
: AQCeESS CATER OF Mea 3
MAME AND CHAPTER 7 H CNaebor, Stover. Cire, Stare, Conmcopy | ie 3
; - * ee een LTT ' a
Ae) e . 4.
BS
sore ee wn ee : E
sMerican Les. .
renee
: :
Ukriay an Club ent
nes \ t
!

: . [ {

Hone ae ae tne ae me eek “T ete ce al et ae tobe

. . i I J

© [SECTION Xxint RESIDENCET FOR TNE | PasT us S YEARS : o
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°e AOCITIONAL INFORMATION:

tod
vou @ovJcare CS wae Cate. Of ane CO N5e CO malt CDU NVA te 8 veMgeS oF, . cen

mae YOU Reha ee 7 ieee hel eee weer et a set co - 7

fur Ty Atente OF fue aves a” een.

7 Ar aeare ary 2 No “eal Urass Su 4: ENG PEASTSNS ‘
1@ MATE UNCEe PHe Los Turtos OF Fag umiteg rrare . oi"?

: B18 VOU AVE ANSWERED VES" PO THE ADTVE QURSTION, ~—— ~~

3. 60 yOu Usa oa Mave vou t
GEA CSO IeTORC ANTS?

Bec youuse oF Mave vou ft _ ,
EVER USED NARCOTICS H Ces MA

VO WAVE YOU EVER BELEN a VEMGER OF, OF $UPPDFTED, ON MAD A
ATAPIOM OM IPE RC TIVITIES? oz
. ives

“WY CONNETTIONS WIM & FOREIGN INTELLIGENCE OP 7Aa-
17 ANSWER IS YES, GIVE COMPLETE CETAILS.

. . . Co
i 9. UIST QELOe THE MES OF GOVERNMINT CEPAREIMENTS, AGENCIES D4 OFFICES TO WHICH (OU HAVE APPLIED 00M Em
PLOYMENT SINCE 1740
a A
oo OQ. U.S,

Asst. Cilef Stafl Intel. Fentu

9.48 PO ¥Oum RYOMLEOSE, ANY OF THE ASOVE HAVE CONDUCTED BN INVESTIGATION G® YOU, INDICATE THE AME OF Tad
AGENCY AND TH APPAQTIMATE DATE OF THE INVESTIGATION. .

— oa _ |. Asst. Chief of St.ff for Intell date of tavestogaticn 1950 |

a
- NOTE SPECIAL, tf pour answor is “YES® ta tha following Questions 10, 81 oF 12, peavide the information requested for each
. * INSTRUCTIONS! avention on a separote, signed sheet ond atsach rhe sheet to this form in a saaled onvolape.

we WW.” WAVE YOU, 08 TO YOUR KNONLEOGE HAS TOUR TPCULE. ©)
YISTED ESR AMY VIGLATION OF THELAWGOTHEN THAN A Ml
yA

ra
a

OA TAINeO, APRESTED. INDICTED OA CON. |:
PI VISLATION IN TRE GuITED STATES 2G ves
: . H

IF 30, STATE NAME OF COURT. City, SPATE, COUNTAT, CATE, NATURE OF OFFENSE AND DISPOSITION OF case | i
la ACCONQANCE MITH THE SPECIAL INSTAUCTION AJOVE. Pin?

COURT MAP TIALS OR OTHE DA

1, MAVE YOU VER DEEN APCESTS PUMIIHEO UNORA MILITARY Law SP GEG |
7 ULATIONE 18 $0, ORSCOINE INCI TIS) aD FEGYVIDE JATESS) OF SCCUMNENCE ON SEPARATE SHEET IM AC#
oh ee CORDANCE WITH SPECIAL INSTQUCTIONS AND VE. oy aa

ABLE INCIDENTS 1) YOUR LIFE, NOT MENTIONED AGOVE, wHICH MAT BE DISCOVERED © ER

12, agg THree amy uN ays
se 3 STICATION, WHETHEO VO WERE DIGECTEY MYON ED CA NOS, WHICH MIGHT BETCIBE Bae *
eee e 18 $0. OESCQISE INCIDENTINI AMD PROVIDE DATES OF ICCUARENCE ON SEPARATE SHEET im ale.
4 CORDANCE wits SPECIAG INSTRUCTIONS ABCVE, i
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rn SECTION XXV . PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
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EMOLOVEA, 1F APPLICABLE

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%. dis CASE OF EMESSENCY. STHER CLOSE REL AVIVES ‘Snuure, Mutner, Fatcars MAY ALSO OE NOTIFIED. IF SUG NOTIFICASICA
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SECTION XXVE . _ CERTIFICATION i” a . _. _
YOu ARE INFORMED THAT THE CORRECTNESS OF avy STA TEMEMT wade IN Pas AFPLICA TION
. SMILE SE INVESTIGATED,

§ have read ond uniierstand the witevctions | Cerity that the fosegoiny «
Amowlesye ong belief. “i agree th. any MUR e lt enent of om ton os
Seamsagal of reyection af my application. fuing umserstard thet uny tut
low. (U.S. Cote, Tite £8, Secron Teed), :

are true Id Correct ta the hese of my
Het will Cometitate grounds for immediate
mTOR? mare herein muy be Purrshsole by

~ ee ass “a Tu ie ra ‘oF shee eyrs 5 peg Len ~ a

COG €or mitwess

cfatiaued den by section and item seme to which at celates,
Wal space 12 requued wre wate bades the wame sure as this

ee the Lhowing space for ovina detatia. Relerence eae
your name at tne end of the added material. [Hf ads
bege and sic each such pave.

Sece XLL #. D. ikcimane all her life,
Sec. IV

#50 onslisn aereeeed and a siort dane for jilliam.
_for apout 5u year : : Looe

Sec. XVII #5. variations or the maze Thomas. for avout &O years.
Sec. VI . os .
stralia- voll’ acqainted wEth th ete ; npen-verrainvisa
resiced in this area one ar in 1543-~ erk assignent.”
“Phillipine ‘Terrain 5 teas. deta , es
Japan .

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Vanada . " ; "1957-1953 visit
Sritisnh Isles 3 years 19502535 work ac 3
doland was “wSy7s Utilities, rellroad.

ecrain,hasbors

Norway  — visits Sa53252053 serrain
Svedea a" . . eon oe & harbors oo
Dennary ‘ow ” itd ” Ww - Ht -
France " moon "
Seran: 1 Ly ot ih i en © ed Th ee eee TPR remnant een nenee a et SNe nate Mm Nn eS yee =
Switzerland " “ | 1 .
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GPeee ML, rn | oe

Ledencn a”
Turkey + wo

Joast of
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Aden . "
Tench Somliland ' . :
enya ; / 1954 "
Italian Somlil-nd visits 1954 "
avitria ; "1955-54-55 - "
Stiiopia vYesijenca 15 255-1955 Terrain harsors utilises, railroads,
industrie 23, pOlivic.l sursies wOLK assi-tente
. : n 468


14-0000

CONFIDENTIAL

(AHEM FILLED IN)

SECURITY APPROVAL

DATE + 20 November 1961

YOUR . : i \
REFERENCE: 1515 NPIC . 4

CASENO, + 194081

10 s Director of Personnel

FROM s Director of Security

SUBJECT 1 MAKSYMIEC, Myroolaw Andrew :
1

wal of tho _wubject person

2

a

This fos to inform you of security appro
as follows: ,

* baced subject has been approved for thy appointment eapecified in
your request under the provistons of Regulations 19-210 and
40-740 Including swecess ta clugoifled information through

Top Secrot aa required ia the performance of his duties.

tC.) Subject has been approved for appointment under the authority
of Paragruph 4(d) of glation 10-219, and under Kexulation
20-750 including accesses to claasified Information through
Top Secret aa required] in tha performance of his dutiea.

Unless arrangements are made within 69 days for entranco on duty within
120 days, thiy approval becomes invalid. . .

3. As part of the entrance on duty proceaaing:

[——] 4 porsonal Intorvicn ta tho Office of facut east be ama oe

_____ ae --A-pereonaa inter vied” “yg rgb necessary.

oo CI . |

FOR THE DIRECTOR OF SECURITY:

(¢) A aH wre

cats We Re Osborne .>

%

. Chick.” Patgonne) Seeurlty Division

rom wo. $473 amevety com CONFIDENTIAL wo

4 MAR OT

14-0000

- . Upon succossful complotion or a porsonal intorview in the Offices. of Securlty. rm

CONFIDENTIAL
UWHEN FILLED EN)

NOTIFICATION OF SECURITY ACTION

DATE t 26 July Gl

YOUR REFERENCES QhS15- . _ - ,
CASE NO. + 19h062 ,

10 a Director of Porsonnel . .

FROM ! Director of Security

SUBJECT & MAKSYMIEC, Myroslaw Andrew .

Subjoot as followss : . . Loe
a aa : cr

This is to inform you that security approval 1s grantod tor tho omploymont’, of

7] Provisional approval is granted upon the condition that Subjoots: , :

he not have aceoss to classified matordal or luformation

be not have access’ to socuro areas .

Ce mot bo issued a building badge or Agoncy groduntial |

a. not bo assigned to any unclassified dutiog other than contained dui,

roquost
Ge

Security processing to effect security clearance for ugoess to slausified in-
formation 45 continuing. Your officeo will be advisod upon complotion of this

action.

Approval for uccess to classified information through SECRET Gndér -tho--pro= sete g

visions of Regulationsa_16.2i0. and 20-7307"

aftor Subjoct reaches age 18, she muy bo approved for nacess to elassifiod
informattou through TOP SECRET. Your office will be advisod upon completion
of this action. .

Orrictals of the -employing orrice should be advised of this security limita-

tion and’should bo instructed to supply suporvisors with advico as to the am
limitation so as to insure continuod compliance. . .

[x] Subject may be invited to Washington for furper processing but is not to 5
receive classified material or information. .

FOR THE DIRECTOR OF SECURLTY : ALCL ING.
W. As OSBORNE

Chief, Personnel Security:Division

ASS MT ASSP eeuits” CONFIDENTIAL © 7 tor.

1-58


